Abstract
Background
Although paratubal cysts are common, borderline paratubal cysts are extremely rare.
We describe the case of a large borderline paratubal cyst in a 17-year-old adolescent
female treated with laparo-endoscopic single-site surgery (LESS), and review the literature.
Case
A 17-year-old female was referred due to a large right adnexal cyst on pelvic sonogram.
A CT scan showed a 19-cm cystic lesion with enhancing papillary projection along the
wall. Laparo-endoscopic single-site surgery confirmed a large cystic mass that originated
from the right salpinx. Right salpingectomy and right ovarian wedge resection were
performed, and intraoperative frozen section analysis was conducted. The result of
the frozen section analysis and final pathologic review indicated that the cyst was
a serous papillary-type borderline tumor in a paratubal cyst.
Summary and Conclusion
To the best of our knowledge, this is the first case report of a BPC treated with
LESS. We suggest that minimally invasive, fertility-preserving surgery should be considered
as a standard treatment of borderline paratubal cysts if patients desire future fertility.
Key Words
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Article info
Publication history
Published online: August 05, 2014
Footnotes
The author indicates no conflict of interest.
Identification
Copyright
© 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
