Laparoscopic excision of primary retroperitoneal mucinous cystadenoma and malignant predicting factors derived from literature review

Seung Eun Lee; Hyung Chul Oh; Yong-Gum Park; Yoo Shin Choi; Mi Kyung Kim

doi:10.1016/j.ijscr.2015.02.050

Laparoscopic excision of primary retroperitoneal mucinous cystadenoma and malignant predicting factors derived from literature review

Int J Surg Case Rep. 2015:9:130-3. doi: 10.1016/j.ijscr.2015.02.050. Epub 2015 Feb 28.

Authors

Seung Eun Lee¹, Hyung Chul Oh², Yong-Gum Park³, Yoo Shin Choi³, Mi Kyung Kim⁴

Affiliations

¹ Department of Surgery, Chung-Ang University College of Medicine, Republic of Korea. Electronic address: selee508@cau.ac.kr.
² Department of Internal Medicine, Division of Gastroenterology, Chung-Ang University College of Medicine, Republic of Korea.
³ Department of Surgery, Chung-Ang University College of Medicine, Republic of Korea.
⁴ Department of Pahtology, Chung-Ang University College of Medicine, Republic of Korea.

Abstract

Introduction: Primary retroperitoneal mucinous cystic neoplasm is very rare and its histogenesis is unclear.

Presentation of case: This paper presents the case of a 31-year-old female in whom an incidentally detected retroperitoneal cystic mass, 6.5cm in size, was successfully resected through laparoscopic approach. Pathologic examination revealed a mucinous cystadenoma. The postoperative course was uneventful, and the patient remained free of recurrence six months after surgery.

Discussion: Literature review showed that male sex (p=0.019), and solid nodules in cysts (p<0.001) were both significantly associated with malignancy.

Conclusion: When confronted with a cystic mass in the retroperitoneum, a primary mucinous cystic neoplasm should be considered and complete surgical removal of the tumor without spillage is recommended.

Keywords: Cystadenoma; Laparoscopy; Mucinous; Primary; Retroperitoneum.