В статье представлено редкое клиническое наблюдение параовариальной кисты гигантских размеров у девочки-подростка с лапароскопическим ее удалением. Наличие объемного образования брюшной полости у девочки-подростка требует мультидисциплинарного подхода с применением визуальных методов диагностики, предпочтительнее магнитно-резонансной томографии, с последующим участием опытной бригады высококвалифицированных специалистов с целью проведения «малоинвазивного» органосохраняющего лечения.
The article describe a rare clinical observation of a giant paraovarian cyst in a teenage girl with laparoscopic removal. The presence of giant cyst in the abdominal cavity in adolescent girls requires a multidisciplinary approach, taking into account visual diagnostic methods, preference for MRI, followed by the participation of experienced teams of highly qualified specialists in order to conduct a "minimally invasive" organ-preserving treatment.
1. Felipe JHJy, Alcantar AR, Franco RF. Adolescent with paraovarian cyst. Surgical treatment. Cir Cir Engl Ed 2017; 85: 535–8.
2. Dietrich JE, Adeyemi O, Hakim J et al. Paratubal cyst size correlates with obesity and disregulation of the Wnt signalling pathway. J Pediatr Adolesc Gynecol 2017; 30 (5): 571–7.
3. Kiseli M, Caglar GS, Cengiz SD et al. Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations. Arch Gynecol Obstet 2012; 285: 1563–9.
4. Smorgick N, Herman A, Schneider D et al. Paraovarian cysts of neoplastic origin are underreported. JSLS 2009; 13: 22–6.
5. Lee S, Ahn KH, Park HT et al. Paratubal bordeline malignancy: a case of a 17-year old adolescent female treated with laparoendoscopic single-site surgery and a review of the literature. J Pediatr Adlesc Gynecol 2016; 29 (1): 74–6.
6. Gupta A, Gupta P, Manaktala U et al. Clinical, radiological, and histopathological analysis of paraovarian cysts. J Life Health 2016; 7: 78–82.
7. Levine D, Brown DL, Andreotti RF et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology 2010; 256: 943–54.
8. Torres JP, Íñiguez RD. Giant paraovarian cyst in childhood – Case report. Rev Chil Pediatr 2015; 86: 117–20.
9. Letourneur B, Grandjean S, Richard P et al. Management of a giant paraovarian cyst. Gynecol Obstet Fertil 2006; 34: 239–41.
10. Cevrioglu AS, Polat C, Fenkci V et al. Laparoscopic management following ultrasonographic-guided drainage in a patient with giant paraovarian cyst. Surg Endosc 2004; 18: 346.
11. Burnhill MS. Giant parovarian cyst: report of a case. Obstet Gynecol 1965; 26: 275–6.
12. Mărginean CO, Mărginean C, Melit LE et al. An incidental diagnosis of a giant paraovarian cyst in a female teenager. A case report. Medicine 2018; 97: 48.
13. Kandil M, Sayyed T, Zakaria M. Laparoscopic trocar management of a giant paraovarian cyst: a case report. F1000Research 2013; 2: 29.
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1. Felipe JHJy, Alcantar AR, Franco RF. Adolescent with paraovarian cyst. Surgical treatment. Cir Cir Engl Ed 2017; 85: 535–8.
2. Dietrich JE, Adeyemi O, Hakim J et al. Paratubal cyst size correlates with obesity and disregulation of the Wnt signalling pathway. J Pediatr Adolesc Gynecol 2017; 30 (5): 571–7.
3. Kiseli M, Caglar GS, Cengiz SD et al. Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations. Arch Gynecol Obstet 2012; 285: 1563–9.
4. Smorgick N, Herman A, Schneider D et al. Paraovarian cysts of neoplastic origin are underreported. JSLS 2009; 13: 22–6.
5. Lee S, Ahn KH, Park HT et al. Paratubal bordeline malignancy: a case of a 17-year old adolescent female treated with laparoendoscopic single-site surgery and a review of the literature. J Pediatr Adlesc Gynecol 2016; 29 (1): 74–6.
6. Gupta A, Gupta P, Manaktala U et al. Clinical, radiological, and histopathological analysis of paraovarian cysts. J Life Health 2016; 7: 78–82.
7. Levine D, Brown DL, Andreotti RF et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology 2010; 256: 943–54.
8. Torres JP, Íñiguez RD. Giant paraovarian cyst in childhood – Case report. Rev Chil Pediatr 2015; 86: 117–20.
9. Letourneur B, Grandjean S, Richard P et al. Management of a giant paraovarian cyst. Gynecol Obstet Fertil 2006; 34: 239–41.
10. Cevrioglu AS, Polat C, Fenkci V et al. Laparoscopic management following ultrasonographic-guided drainage in a patient with giant paraovarian cyst. Surg Endosc 2004; 18: 346.
11. Burnhill MS. Giant parovarian cyst: report of a case. Obstet Gynecol 1965; 26: 275–6.
12. Mărginean CO, Mărginean C, Melit LE et al. An incidental diagnosis of a giant paraovarian cyst in a female teenager. A case report. Medicine 2018; 97: 48.
13. Kandil M, Sayyed T, Zakaria M. Laparoscopic trocar management of a giant paraovarian cyst: a case report. F1000Research 2013; 2: 29.
ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Минздрава России, Москва, Россия
*zai-kumykova@yandex.ru
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Zaira Kh. Kumykova*, Zalina K. Batyrova, Diana A. Kruglyak, Elena V. Uvarova, Vladimir D. Chuprynin, Natalia A. Buralkina, Larisa S. Ezhova
Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia
*zai-kumykova@yandex.ru