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Published in: Archives of Gynecology and Obstetrics 6/2012

01-06-2012 | General Gynecology

Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations

Authors: Mine Kiseli, Gamze S. Caglar, Sevim Dincer Cengiz, Demet Karadag, Muserref B. Yılmaz

Published in: Archives of Gynecology and Obstetrics | Issue 6/2012

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Abstract

Introduction

Paraovarian or paratubal cysts (PTCs) constitute about 10 % of adnexial masses. Although they are not uncommon; they rarely cause symptoms and are usually incidentally found. Actual incidence is not known. The symptoms occur when they grow excessively, or in case of hemorrhage, rupture or torsion.

Methods

Here, literature review reporting the incidence, presentation and complications of PTCs is performed. Uncommon presentations of PTCs in three different cases, a giant PTC, torsion of PTC and borderline paratubal tumor, are also reported and discussed.

Results

Ultrasonography, CT or MRI may be performed in preoperative evaluation; but none of these imaging techniques have specific criteria for diagnosis. So, in most cases misdiagnosis as an ovarian mass remains to be a problem.

Conclusion

Paratubal cysts can become extremely big before causing symptoms. Torsion is another urgent issue regarding PTCs, necessiating urgent surgery for preservation of the ovary and the tube. Although malignancy is rare, borderline paratubal tumors have been reported in the literature.
Literature
1.
go back to reference Azzena A, Quintieri F, Salmaso R (1994) A voluminous paraovarian cyst. Case report. Clin Exp Obstet Gynecol 21(4):249–252PubMed Azzena A, Quintieri F, Salmaso R (1994) A voluminous paraovarian cyst. Case report. Clin Exp Obstet Gynecol 21(4):249–252PubMed
2.
go back to reference Barloon TJ, Brown BP, Abu-Yousef MM, Warnock NG (1996) Paraovarian and paratubal cysts: preoperative diagnosis using transabdominal and transvaginal sonography. J Clin Ultrasound 24(3):117–122PubMedCrossRef Barloon TJ, Brown BP, Abu-Yousef MM, Warnock NG (1996) Paraovarian and paratubal cysts: preoperative diagnosis using transabdominal and transvaginal sonography. J Clin Ultrasound 24(3):117–122PubMedCrossRef
3.
go back to reference Perlman S, Hertweck P, Fallat ME (2005) Paratubal and tubal abnormalities. Semin Ped Surg 14(2):124–134CrossRef Perlman S, Hertweck P, Fallat ME (2005) Paratubal and tubal abnormalities. Semin Ped Surg 14(2):124–134CrossRef
4.
go back to reference Genadry R, Parmley T, Woodrdruff JD (1977) The origin and clinical behavior of the paraovarian tumor. AJOG 129:873–880 Genadry R, Parmley T, Woodrdruff JD (1977) The origin and clinical behavior of the paraovarian tumor. AJOG 129:873–880
5.
go back to reference Pepe F, Panella M, Pepe G et al (1986) Paraovarian tumors. Eur J Gynaecol Oncol 7(3):159–161PubMed Pepe F, Panella M, Pepe G et al (1986) Paraovarian tumors. Eur J Gynaecol Oncol 7(3):159–161PubMed
6.
go back to reference Muolokwu E, Sanchez J, Bercaw JL, Sangi-Haghpeykar H, Banszek T, Brandt ML, Dietrich JE (2011) The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. J Ped Surg 46(11):2161–2163CrossRef Muolokwu E, Sanchez J, Bercaw JL, Sangi-Haghpeykar H, Banszek T, Brandt ML, Dietrich JE (2011) The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. J Ped Surg 46(11):2161–2163CrossRef
7.
go back to reference Darwish AM, Amin AF, Mohammad SA (2003) Laparoscopic management of paratubal and paraovarian cysts. JSLS 7:101–106PubMed Darwish AM, Amin AF, Mohammad SA (2003) Laparoscopic management of paratubal and paraovarian cysts. JSLS 7:101–106PubMed
8.
go back to reference Savelli L, Ghi T, De Iaco P, Ceccaroni M, Venturoli S, Cacciatore B (2006) Paraovarian/paratubal cysts: comparison of transvaginal sonographic and pathological findings to establish diagnostic criteria. Ultrasound Obstet Gynecol 28:330–334PubMedCrossRef Savelli L, Ghi T, De Iaco P, Ceccaroni M, Venturoli S, Cacciatore B (2006) Paraovarian/paratubal cysts: comparison of transvaginal sonographic and pathological findings to establish diagnostic criteria. Ultrasound Obstet Gynecol 28:330–334PubMedCrossRef
9.
go back to reference Sokalska A, Timmerman D, Testa AC, Von Holsbeke C, Lissoni AA, Leone FPG, Jurkovic D, Valentin L (2009) Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol 34:462–470PubMedCrossRef Sokalska A, Timmerman D, Testa AC, Von Holsbeke C, Lissoni AA, Leone FPG, Jurkovic D, Valentin L (2009) Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol 34:462–470PubMedCrossRef
10.
go back to reference Guerriero S, Ajossa S, Piras S, Angiolucci M, Marisa O (2006) Melis G.B. Diagnosis of paraovarian cysts using transvaginal sonography combined with Ca125 determination. Ultrasound Obstet Gynecol 28:856–858PubMedCrossRef Guerriero S, Ajossa S, Piras S, Angiolucci M, Marisa O (2006) Melis G.B. Diagnosis of paraovarian cysts using transvaginal sonography combined with Ca125 determination. Ultrasound Obstet Gynecol 28:856–858PubMedCrossRef
11.
go back to reference Kishimoto K, Ito K, Awaya H, Matsunaga N, Outwater EK, Siegelman ES (2002) Paraovarian cyst: MR imaging features. Abdom Imaging 27:685–689PubMedCrossRef Kishimoto K, Ito K, Awaya H, Matsunaga N, Outwater EK, Siegelman ES (2002) Paraovarian cyst: MR imaging features. Abdom Imaging 27:685–689PubMedCrossRef
12.
go back to reference Letourneur B, Grandjean S, Richard P, Parant O (2006) Management of a giant paraovarian cyst. Gynecol Obstet Fertil 34:239–241PubMedCrossRef Letourneur B, Grandjean S, Richard P, Parant O (2006) Management of a giant paraovarian cyst. Gynecol Obstet Fertil 34:239–241PubMedCrossRef
13.
go back to reference Kostov M, Mijovic Z, Mihailovic D (2008) Giant paraovarian cyst in a child complicated with torsion. Vajnos Pregl 65(11):843–846CrossRef Kostov M, Mijovic Z, Mihailovic D (2008) Giant paraovarian cyst in a child complicated with torsion. Vajnos Pregl 65(11):843–846CrossRef
14.
go back to reference Harris RE, Daly JW, Gibbs CE (1966) The significance of the paraovarian cyst. Virginia Med Month 93:18–21 Harris RE, Daly JW, Gibbs CE (1966) The significance of the paraovarian cyst. Virginia Med Month 93:18–21
15.
go back to reference Vlahakis-Miliaras E, Miliaras D, Koutsoumis G, Miliaras S, Spyridakis I, Papadopoulos MS (1998) Paratubal cysts in young females as an incidental finding in laparotomies performed for right lower quadrant abdominal pain. Pediatr Surg Int 13:141–142PubMedCrossRef Vlahakis-Miliaras E, Miliaras D, Koutsoumis G, Miliaras S, Spyridakis I, Papadopoulos MS (1998) Paratubal cysts in young females as an incidental finding in laparotomies performed for right lower quadrant abdominal pain. Pediatr Surg Int 13:141–142PubMedCrossRef
16.
go back to reference Lineberry TD, Rodriguez H (2000) Isolated torsion of the fallopian tube in an adolescent: a case report. J Pediatr Adolesc Gynecol 13:135–137PubMedCrossRef Lineberry TD, Rodriguez H (2000) Isolated torsion of the fallopian tube in an adolescent: a case report. J Pediatr Adolesc Gynecol 13:135–137PubMedCrossRef
17.
go back to reference Dietrich JE, Heard MJ, Edwards C (2005) Uteroovarian ligament torsion of the due to a paratubal cyst. J Pediatr Adolesc Gynecol 18:125–127PubMedCrossRef Dietrich JE, Heard MJ, Edwards C (2005) Uteroovarian ligament torsion of the due to a paratubal cyst. J Pediatr Adolesc Gynecol 18:125–127PubMedCrossRef
18.
go back to reference Low S-CA, Ong C-L, Lam S-L, Beh S-T (2005) Paratubal cyst complicated by tubo-ovarian torsion: computed tomography features. Australas Rad 49(2):136–139CrossRef Low S-CA, Ong C-L, Lam S-L, Beh S-T (2005) Paratubal cyst complicated by tubo-ovarian torsion: computed tomography features. Australas Rad 49(2):136–139CrossRef
19.
go back to reference Smorgick N, Herman A, Schneider D, Halperin R, Pansky M (2009) Paraovarian cysts of neoplastic origin are underreported. JSLS 13(1):22–26PubMed Smorgick N, Herman A, Schneider D, Halperin R, Pansky M (2009) Paraovarian cysts of neoplastic origin are underreported. JSLS 13(1):22–26PubMed
20.
go back to reference Seamon LG, Holt CN, Suarez A, Richardson DL, Carlson MJ, O’Malley DM (2009) Paratubal borderline serous tumors. Gynecol Oncol 113(1):83–85PubMedCrossRef Seamon LG, Holt CN, Suarez A, Richardson DL, Carlson MJ, O’Malley DM (2009) Paratubal borderline serous tumors. Gynecol Oncol 113(1):83–85PubMedCrossRef
21.
go back to reference Fauvet R, Boccara J, Dufournet C, David-Montefiore E, Poncelet C, Darai E (2004) Restaging surgery for women with borderline ovarian tumors: results of a French multicenter study. Cancer 100(6):1145–1151PubMedCrossRef Fauvet R, Boccara J, Dufournet C, David-Montefiore E, Poncelet C, Darai E (2004) Restaging surgery for women with borderline ovarian tumors: results of a French multicenter study. Cancer 100(6):1145–1151PubMedCrossRef
22.
go back to reference Salamon C, Tornos C, Chi DS (2005) Borderline endometrioid tumor arising in a paratubal cyst: a case report. Gyn Oncol 97(1):263–265CrossRef Salamon C, Tornos C, Chi DS (2005) Borderline endometrioid tumor arising in a paratubal cyst: a case report. Gyn Oncol 97(1):263–265CrossRef
23.
go back to reference Kumbak B, Celik H, Cobanoglu B, Gurates B (2010) Paratubal borderline tumor incidentally found during cesarean section: case report and review of literaure. Eur J Surg Oncol 36(8):789–791PubMedCrossRef Kumbak B, Celik H, Cobanoglu B, Gurates B (2010) Paratubal borderline tumor incidentally found during cesarean section: case report and review of literaure. Eur J Surg Oncol 36(8):789–791PubMedCrossRef
24.
go back to reference Terek MC, Sahin C, Yeniel AO, Ergenoglu M, Zekioglu O (2011) Paratubal borderline tumor diagnosed in the adolescent period: a case report and review of the literature. J Ped Adol Gyn 24(5):115–116CrossRef Terek MC, Sahin C, Yeniel AO, Ergenoglu M, Zekioglu O (2011) Paratubal borderline tumor diagnosed in the adolescent period: a case report and review of the literature. J Ped Adol Gyn 24(5):115–116CrossRef
25.
go back to reference Im HS, Kim JO, Lee SJ, Lee YS, Park EK (2011) Borderline mucinous tumor arising in a paratubal cyst: a case report. Eur J Gynaecol Oncol 32(2):206–207PubMed Im HS, Kim JO, Lee SJ, Lee YS, Park EK (2011) Borderline mucinous tumor arising in a paratubal cyst: a case report. Eur J Gynaecol Oncol 32(2):206–207PubMed
Metadata
Title
Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations
Authors
Mine Kiseli
Gamze S. Caglar
Sevim Dincer Cengiz
Demet Karadag
Muserref B. Yılmaz
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 6/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2304-8

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