Abstract | BACKGROUND:
Paratubal cysts, generally known as hydatid cysts of Morgagni, are small round cysts attached by a pedicle to the fimbriated end of the tube. The following represents the first reported case of an endometrioid tumor of low malignant potential arising in a paratubal cyst. CASE REPORT: A 45-year-old nulliparous female was referred with a complex right adnexal mass on pelvic sonogram. She underwent laparoscopic bilateral ovarian cystectomy and partial right salpingectomy (for a 3-cm torsed paratubal cyst). All frozen-section diagnoses were benign; however, final pathology revealed a borderline tumor of low malignant potential of endometrioid type in the right paratubal cyst. The patient underwent extensive counseling regarding management options and decided to have a laparoscopic right salpingo-oophorectomy. Final pathologic analysis revealed no evidence of persistent borderline tumor. CONCLUSION:
Paratubal cysts are very difficult to diagnose with sonography; therefore, their management should be approached as any other adnexal mass. Laparoscopic surgery is an option in the management of adnexal masses; however, rupture or puncture of masses should be avoided when possible to prevent potential tumor dissemination in the event of a malignancy.
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Authors | Charbel Salamon, Carmen Tornos, Dennis S Chi |
Journal | Gynecologic oncology
(Gynecol Oncol)
Vol. 97
Issue 1
Pg. 263-5
(Apr 2005)
ISSN: 0090-8258 [Print] United States |
PMID | 15790473
(Publication Type: Case Reports, Journal Article)
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Topics |
- Broad Ligament
(pathology)
- Carcinoma, Endometrioid
(etiology, pathology)
- Cysts
(complications, pathology)
- Fallopian Tube Diseases
(complications, pathology)
- Female
- Humans
- Middle Aged
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