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Case Reports
. 2012:13:53.
Epub 2012 Nov 16.

Borderline paratubal cyst: a case report

Fatima Zohra Fdili Alaoui  1 , Hinde El Fatemi, Hekmat Chaara, Molay Abdilah Melhouf, Afaf Amarti
Affiliations
Case Reports

Borderline paratubal cyst: a case report

Fatima Zohra Fdili Alaoui et al. Pan Afr Med J. 2012.

Abstract

Borderline para-ovarian cysts (PCs) are rare entities. They are commonly present in the third decade. Borderline PCs are often discovered fortuitously on routine ultrasound examination or they are common incidental findings during a laparotomy. They must be differentiated from simple ovarian cysts, peritoneal inclusion cysts and hydrosalpinges on ultrasound sonography. Papillary projections on the cyst wall should be searched carefully to suggest diagnosis. The treatment is surgical including fertility -sparing operation or more radical surgery depending on the case. The prognosis is good because borderline PCs are usually early-stage at diagnosis. Here is a report of a 38- year old woman with a borderline paratubal cyst. Adnexal torsion of hydrosalpinx was suspected; thus, she underwent an urgent surgery. Cystectomy was performed without rupture. The final diagnosis revealed a borderline PC. The patient underwent a radical surgery. Currently, she has had no evidence of disease recurrence.

Keywords: Paratubal cyst; borderline; torsion; treatment.

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Figures

Figure 1
Figure 1
The sonographic evaluation showed a 100/52mm right oblong adnexal cyst suggesting a hydrosalpinx
Figure 2
Figure 2
Ultrasound showed that the cyst is clearly separated from the ipsilateral ovary
Figure 3
Figure 3
At surgery, a 10cm twisted right paratubal cyst were diagnosed
Figure 4
Figure 4
Cystectomy was performed without rupture
Figure 5
Figure 5
Borderline paratubal cyst: The epithelium showed nuclear stratification, gland formation and atypical papillary proliferations. No invasive features were recognized
See this image and copyright information in PMC

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