Cervical neoplasm in adolescence: a difficult diagnosis?
Background. Tumors of the external genital organs, vagina, and uterus are rare in childhood and adolescence (8% of all tumors and tumor-like masses of the uterine appendages). Space occupying lesions of the genital organs in girls average 1.5 to 2% of all neoplasms in children of both sexes and tenths of a percent for all cases of female reproductive system tumors. As a rule, they are malignant (sarcoma of the vagina, cervix, or corpus uteri) and primarily manifest themselves as vaginal bleeding that serves as the leading symptom of the disease. When vaginal bleeding appears in young girls, their parents usually quickly go to a doctor. However, girls of early reproductive age seek no medical advice for a long time, and this often leads to the disease being diagnosed at an advanced stage.Kumykova Z.Kh., Uvarova E.V., Batyrova Z.K., Asaturova A.V., Chuprynin V.D., Mamedova F.Sh., Ezhova L.S., Ukolova I.L.
Case report. The paper describes a clinical case of a teenage girl with benign cervical neoplasm that has been undetected in time, causing multiple recurrences of the disease.
Conclusion. Abnormal uterine bleeding in puberty, as well as in all other periods of a woman’s life, requires vaginoscopy in order to exclude vaginal and cervical neoplasms that are rare, but are, nevertheless, possible causes of recurrent vaginal bleeding in girls.
Keywords
cervical adenofibroma
abnormal uterine bleeding
vaginoscopy
adolescent girls
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Received 18.06.2020
Accepted 29.10.2020
About the Authors
Zaira Kh. Kumykova, PhD, senior researcher at the Department of Pediatric and Adolescent Gynecology, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-85-42. E-mail: zai-kumykova@yandex.ru. ORCID: 0000-0001-7511-1432.117997, Russia, Moscow, Ac. Oparina str., 4.
Elena V. Uvarova, Corresponding member of RAS, Dr. Med. Sci., Professor, Head of the Department of Pediatric and Adolescent Gynecology, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-85-09. E-mail: elena-uvarova@yandex.ru.
ORCID: 0000-0002-3105-5640. 117997, Russia, Moscow, Ac. Oparina str., 4.
Zalina K. Batyrova, PhD, senior researcher at the Department of Pediatric and Adolescent Gynecology, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-85-42. Е-mail: linadoctor@mail.ru. ORCID: 0000-0003-4997-6090.
117997, Russia, Moscow, Ac. Oparina str., 4.
Aleksandra V. Asaturova, PhD, Head of the Department of Pathomorphology, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-23-11. Е-mail: a.asaturova@gmail.com. ORCID: 0000-0001-8739-5209. 117997, Russia, Moscow, Ac. Oparina str., 4.
Vladimir D. Chuprynin, PhD, Head of the Department of Surgery, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. Tel.: +7(495)438-35-75. Е-mail: v_chuprynin@oparina4.ru. 117997, Russia, Moscow, Ac. Oparina str., 4.
Fatima Sh. Mamedova, PhD, doctor at the Department of Visual Diagnostic in Pediatricion, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-26-00. Е-mail: f_mamedova@oparina4.ru. 117997, Russia, Moscow, Ac. Oparina str., 4.
Larisa S. Ezhova, PhD, senior researcher at the Department of Pathomorphology, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-23-11. Е-mail: l_ezhova@oparina4.ru. ORCID: 0000-0002-9804-8349.
117997, Russia, Moscow, Ac. Oparina str., 4.
Irina L. Ukolova, PhD, associate Professor of the Department of Endocrinology of the Pediatric Faculty, N.I. Pirogov Russian National Research Medical University (RNRMU), Ministry of Health of Russia. Tel.: +7(495)936-93-25. Е-mail: clinika@rdkb.ru. ORCID: 0000-0003-3575-0074. 117997, Russia, Moscow, Ostrovityanova str., 1.
For citation: Kumykova Z.Kh., Uvarova E.V., Batyrova Z.K., Asaturova A.V., Chuprynin V.D., Mamedova F.Sh., Ezhova L.S., Ukolova I.L. Cervical neoplasm in adolescence: a difficult diagnosis?
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: 200-205 (in Russian)
https://dx.doi.org/10.18565/aig.2021.1.200-205
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