Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
Mature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Gian...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2023-10-01
|
| Series: | Case Reports in Oncology |
| Online Access: | https://beta.karger.com/Article/FullText/534141 |
| _version_ | 1827774929257365504 |
|---|---|
| author | Adolfo Eduard Barragán-Curiel Carlos Murillo-Zepeda Karla Fernanda Castro-Perez Francisco Omar Alcalá-Aguirre Lilian Sabinne Díaz-Montoya Omar Alfonso Ruiz-Félix José Antonio Acevedo-Delgado Moyra Velasco-Preciado |
| author_facet | Adolfo Eduard Barragán-Curiel Carlos Murillo-Zepeda Karla Fernanda Castro-Perez Francisco Omar Alcalá-Aguirre Lilian Sabinne Díaz-Montoya Omar Alfonso Ruiz-Félix José Antonio Acevedo-Delgado Moyra Velasco-Preciado |
| author_sort | Adolfo Eduard Barragán-Curiel |
| collection | DOAJ |
| description | Mature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Giant ovarian tumors are defined as those having a maximum diameter equal to or more than 15 cm; these represent a therapeutic challenge as they increase the risk of wide wound size and surgical invasiveness. In this paper, we present a case of a 10-year-old Hispanic female that complained of abdominal pain, distension, and nausea. Physical examination revealed a mass on the left side of the abdomen and an axial computed tomography found a large pelvic tumor extending to the abdominal region. After a laparotomy approach, pathology evaluation confirmed the diagnosis of mature cystic teratoma. The patient recovered thoroughly and had no complications at a 6-month follow-up. We conducted a literature review including English and Spanish reports about giant ovarian teratomas; we retrieved 16 cases from 2003 to 2023. We concluded that giant ovarian tumors may be underreported, particularly in resource-limited areas where tumors might grow unrecognized, and that English-language bias might play a substantial role in literature reviews involving case reports and case series. |
| first_indexed | 2024-03-11T13:44:31Z |
| format | Article |
| id | doaj.art-b9fcc90b985e48d3b6eb22f00bae9a1a |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-03-11T13:44:31Z |
| publishDate | 2023-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-b9fcc90b985e48d3b6eb22f00bae9a1a2023-11-02T10:50:45ZengKarger PublishersCase Reports in Oncology1662-65752023-10-011611066107210.1159/000534141534141Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature ReviewAdolfo Eduard Barragán-Curiel0Carlos Murillo-Zepeda1Karla Fernanda Castro-Perez2Francisco Omar Alcalá-Aguirre3Lilian Sabinne Díaz-Montoya4Omar Alfonso Ruiz-Félix5José Antonio Acevedo-Delgado6Moyra Velasco-Preciado7Mexican Oncology Association, Zapopan, MexicoDepartment of Medicine, Universidad Autónoma de Guadalajara School of Medicine, Zapopan, MexicoDepartment of Medicine, Universidad Autónoma de Guadalajara School of Medicine, Zapopan, MexicoDepartment of Medicine, Universidad Autónoma de Guadalajara School of Medicine, Zapopan, MexicoDepartment of Medicine, Universidad Autónoma de Guadalajara School of Medicine, Zapopan, MexicoMexican Oncology Association, Zapopan, MexicoMexican Oncology Association, Zapopan, MexicoOncology Unit, Zapopan, MexicoMature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Giant ovarian tumors are defined as those having a maximum diameter equal to or more than 15 cm; these represent a therapeutic challenge as they increase the risk of wide wound size and surgical invasiveness. In this paper, we present a case of a 10-year-old Hispanic female that complained of abdominal pain, distension, and nausea. Physical examination revealed a mass on the left side of the abdomen and an axial computed tomography found a large pelvic tumor extending to the abdominal region. After a laparotomy approach, pathology evaluation confirmed the diagnosis of mature cystic teratoma. The patient recovered thoroughly and had no complications at a 6-month follow-up. We conducted a literature review including English and Spanish reports about giant ovarian teratomas; we retrieved 16 cases from 2003 to 2023. We concluded that giant ovarian tumors may be underreported, particularly in resource-limited areas where tumors might grow unrecognized, and that English-language bias might play a substantial role in literature reviews involving case reports and case series.https://beta.karger.com/Article/FullText/534141 |
| spellingShingle | Adolfo Eduard Barragán-Curiel Carlos Murillo-Zepeda Karla Fernanda Castro-Perez Francisco Omar Alcalá-Aguirre Lilian Sabinne Díaz-Montoya Omar Alfonso Ruiz-Félix José Antonio Acevedo-Delgado Moyra Velasco-Preciado Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review Case Reports in Oncology |
| title | Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review |
| title_full | Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review |
| title_fullStr | Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review |
| title_full_unstemmed | Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review |
| title_short | Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review |
| title_sort | giant mature ovarian cystic teratoma in a pediatric patient case report and literature review |
| url | https://beta.karger.com/Article/FullText/534141 |
| work_keys_str_mv | AT adolfoeduardbarragancuriel giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT carlosmurillozepeda giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT karlafernandacastroperez giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT franciscoomaralcalaaguirre giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT liliansabinnediazmontoya giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT omaralfonsoruizfelix giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT joseantonioacevedodelgado giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview AT moyravelascopreciado giantmatureovariancysticteratomainapediatricpatientcasereportandliteraturereview |