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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e37-e40
DOI: 10.1055/s-0042-1742712
Case Report

Resection of an Extraovarian Noniuteinized Thecoma in a 14-Year-Old Girl

Ophelia Aubert
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Robin Wachowiak
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Christian Roth
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Anne K. Höhn
2   Division of Gynecologic, Breast and Perinatal Pathology, Institute of Pathology, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Martin Lacher
3   Department of Pediatric Radiology, University Hospital Leipzig, Leipzig, Sachsen, Germany
,
Steffi Mayer
1   Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Sachsen, Germany
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Abstract

Thecomas are rare benign sex cord-stromal tumors that account for less than 1% of all ovarian tumors. They usually affect postmenopausal women and become symptomatic with abnormal bleeding. In adolescents, less than 10 cases have been reported so far, mainly with symptoms of hormonal disbalance. Extraovarian thecomas represent an even rarer entity, with only two cases described so far, none of them in the pediatric population.

We report the case of a 14-year-old girl who presented with sudden-onset abdominal pain, dysuria, and fever, as well as highly elevated serum inflammation parameters. Ultrasound and magnetic resonance imaging (MRI) revealed a large, inhomogeneous pelvic mass (16 cm × 9 cm × 13 cm) with indistinct margins, suggestive of an infiltrative malignant teratoma or sarcoma. Laparoscopy confirmed a large mass of unknown origin. In contrast to the infiltrative character seen on preoperative MRI, the tumor could be easily exteriorized and resected after conversion to laparotomy. Ovaries, fallopian tubes, and uterus remained unaffected. Histopathology revealed a benign nonluteinized thecoma. The postoperative course and 19-month follow-up were uneventful.

Keywords

ovarian neoplasm - extraovarian thecoma - adolescent


Publication History

Received: 05 August 2021

Accepted: 20 September 2021

Article published online:
19 April 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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