Ufuk USTA, Emine TÜRKMEN, N. Engin AYDIN

Adrenal ectopia within the wall of an ovarian serous cystadenoma

Ektopik adrenal çocuklarda nispeten sık görülen bir durumdur. En sık lokalizasyon erkek genital sistemi, özellikle de spermatik korddur. Kadın genital sistemi de ektopik adrenal dokusunun sık görüldüğü bir bölgedir, ancak over lokalizasyonu çok nadirdir. Yirmi bir yaşında kadın hasta karında şişlik, pelvik ağrı ve menstrüasyon düzensizliği nedeniyle başvurdu. Ultrasonografide sol ovarian bölgede 25 cm çaplı kistik kitle saptandı. Ameliyatla çıkartılan kist seröz sıvıyla doluydu ve duvarında 0.2 cm çapta sarı renkte nodül görüldü. Mikroskobik bakıda kist iç yüzü seröz kübik epitelle döşeliydi. Kist duvarındaki nodül ise iyi sınırlıydı ve adrenal dokudan oluşuyordu. Patolojik tanı, seröz kistadenom ve ektopik adrenal doku olarak geldi.

Anahtar Kelimeler:

Kistadenom, Böbrek üstü bezi korteksi, Genital hastalıklar, dişi, Patoloji

Over seröz kistadenomu duvarında ektopik adrenal

Ectopic adrenal tissue is a relatively common finding, especially in children. The most common localization is the male genital system, especially the spermatic cord. Female genital tract is also a common site for ectopic adrenal tissue but, ovarian localization is very rare. A 21-year-old woman presented with complaints of abdominal swelling, pelvic pain and menstrual irregularity. Ultrasonographic examination revealed a 25 cm cystic mass in the left ovarian region. The cyst which was removed surgically, was filled with serous fluid and there was a 0.2 cm yellowish nodule within the wall. Serous cubic epithelium was lining the inner portion of the cyst. The nodule within the cyst wall was well defined and consisted of adrenal tissue.

Keywords:

Cystadenoma, Adrenal Cortex, Genital Diseases, Female, Pathology,

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