First Report of Retroperitoneal Mucinous Cystadenoma in a Patient with Hirsutism.

Clin Med Res

Department of General Surgery, Marshfield Clinic, Marshfield, Wisconsin, USA

Published: March 2020

AI Article Synopsis

  • Primary retroperitoneal mucinous cystadenomas (PRMC) are uncommon benign tumors, with only 55 known cases in medical literature.
  • A 19-year-old female diagnosed with hirsutism had a cystic mass in her left retroperitoneum, leading to high levels of dehydroepiandrosterone sulfate (DHEA-S) before surgery.
  • After laparoscopic removal of the cyst, it was confirmed as PRMC, and while DHEA-S levels returned to normal post-surgery, there was no immediate improvement in hirsutism symptoms; this case uniquely ties PRMC to elevated androgen levels.

Article Abstract

Primary retroperitoneal mucinous cystadenomas (PRMC) are rare benign neoplasms with only 55 documented cases in the English literature so far. A 19-year-old female exhibited hirsutism and was found to have a cystic mass measuring 5.8 cm × 3.9 cm × 5.8 cm in the left retroperitoneum. During subsequent work up, a high pre-operative value of dehydroepiandrosterone sulfate (DHEA-S) was noted. The patient was referred to surgical oncology and underwent an uneventful laparoscopic cystectomy. Pathology classified the cyst as PRMC. Post-operatively, the patient's DHEA-S levels normalized, though there was no appreciable decrease in the patient's hirsutism in the short-term follow-up. The origin of PRMC is uncertain. Due to their unknown biological potential, surgical resection is usually recommended. To the best of our knowledge, this is the first report documenting a PRMC and elevated levels of androgens in conjunction with hirsutism.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153794PMC
http://dx.doi.org/10.3121/cmr.2019.1488DOI Listing

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