Retroperitoneal pelvic mass in a 15-year-old female patient

Salnikova I.A., Khabas G.N., Uvarova E.V., Mamedova F.Sh., Sheshko E.L., Khashchenko E.P., Asaturova A.V.

1) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 3) Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia, Moscow, Russia
Background: Differential diagnosis and treatment of retroperitoneal non-organ tumors are a difficult task in clinical practice. Neoplasms of the retroperitoneal space have diverse morphological characteristics, clinical presentations, and a process course. Retroperitoneal non-organ tumors occur in less than 1% of all human neoplasms. These tumors can be located in the retroperitoneal space from the diaphragm to the pelvis, which causes a pronounced variety of clinical manifestations of the disease. Surgery is the main and only radical treatment of retroperitoneal non-organ tumors.
Case report: The paper presents a clinical case of a 15-year-old girl. The atypical localization of the mass has determined the complexity of diagnosis and choice of treatment. The authors describe the ultrasound characteristics of the mass, MRI data, the features of differential diagnosis and surgical treatment in the female patient.
Conclusion: The clinical case discussed reflects the complexity of differential diagnosis of retroperitoneal pelvic masses in teenage girls.

Authors’ contributions: Salnikova I.A. – analysis of literary sources, writing, design; Khashchenko E.P. – editing; Salnikova I.A., Khabas G.N., Uvarova E.V., Sheshko E.L., Mamedova F.Sh., Khashchenko E.P. – comprehensive examination and treatment of the patient; Asaturova A.V. – histological examination; Uvarova E.V. – final editing of the text.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has been financially supported by the state assignment of the Ministry of Health "The role of impaired energy metabolism and immune defense in the development of different forms of endometriosis, in that of personalized therapy, and in the prediction of its efficiency in the early reproductive period (from menarche to age 18 years)” 18-A21.
Patient Consent for Publication: A written informed consent has been obtained from the patient for the use of her personal data and associated images, for the publication of examination and treatment results.
For citation: Salnikova I.A., Khabas G.N., Uvarova E.V., Mamedova F.Sh., Sheshko E.L., Khashchenko E.P., Asaturova A.V. Retroperitoneal pelvic mass in a 15-year-old female patient.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; 1: 130-136 (in Russian)
http://dx.doi.org/10.18565/aig.2023.242

Keywords

retroperitoneal mass
pelvis mass
girls
gynecology of children and adolescents

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Received 12.10.2022

Accepted 12.01.2023

About the Authors

Irina A. Salnikova, PhD, Researcher at the 2nd Gynecological Department (Gynecology of Pediatric and Adolescents), Academician V.I. Kulakov NMRC for OG&P,
Ministry of Health of Russia, +7(495)438-85-09, i_salnikova@oparina4.ru, https://orcid.org/0000-0001-6997-643X, 4, Oparina str., Moscow, 117997, Russia.
Grigory N. Khabas, PhD, Head of the Department of Innovative Oncology and Gynecology, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
g_khabas@oparina4.ru, https://orcid.org/0000-0002-5011-9152, 4, Oparina str., Moscow, 117997, Russia.
Elena V. Uvarova, Corresponding Member of the RAS, Dr. Med. Sci., Professor, Head of the 2nd Gynecological Department (Gynecology of Pediatric and Adolescents), Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia; Professor at the Department of Obstetrics, Gynecology, Perinatology and Reproductology,
I.M. Sechenov First MSMU, Ministry of Health of Russia (Sechenov University), elena-uvarova@yandex.ru, https://orcid.org/0000-0002-3105-5640,
4, Oparina str., Moscow, 117997, Russia.
Fatima Sh. Mamedova, PhD, Physician at the Department of Ultrasound Diagnostics of the Department of Neonatology and Pediatrics, Academician V.I. Kulakov
NMRC for OG&P, Ministry of Health of Russia; assistant at the Department of Radiation Diagnostics of Pediatric Age, RMACPE, Ministry of Health of Russia,
f_mamedova@oparina4.ru, https://orcid.org/0000-0003-1136-7222, 4, Oparina str., Moscow, 117997, Russia.
Polina L. Sheshko, gynecologist at the Department of Innovative Oncology and Gynecology, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
p_sheshko@oparina4.ru, https://orcid.org/0000-0003-3905-8026, 4, Oparina str., Moscow, 117997, Russia.
Elena P. Khashchenko, PhD, Senior Researcher at the 2nd Gynecological Department (Gynecology of Pediatric and Adolescents), Academician V.I. Kulakov
NMRC for OG&P, Ministry of Health of Russia, khashchenko_elena@mail.ru, https://orcid.org/0000-0002-3195-307X, 4, Oparina str., Moscow, 117997, Russia.
Aleksandra V. Asaturova, Dr. Med. Sci., Head of the 1st Pathological Anatomical Department, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, a_asaturova@oparina4.ru, https://orcid.org/0000-0001-8739-5209, 4, Oparina str., Moscow, 117997, Russia.
Corresponding author: Irina A. Salnikova, i_salnikova@oparina4.ru

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