PARAOVARIAN AND MESOTHELIAL CYSTS FOLLOWING CERVICAL MESONEPHRIC ADENOCARCINOMA: A CASE REPORT

Radomir Gelevski; Gjorgji Jota; Andrej Nikolovski; Vanja Trajkovska; Blagica Krsteska; Marija Joksimovikj; Slavoljub Ivanovski

Radomir Gelevski Department of Surgery, General Hospital Kumanovo http://orcid.org/0009-0005-2108-8595
Gjorgji Jota University clinic for digestive surgery, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, North Macedonia
Andrej Nikolovski Department of visceral surgery, University surgery hospital " St Naum Ohridski", Skopje, North Macedonia
Vanja Trajkovska University clinic for traumatology, orthopedics, anesthesiology, reanimation, intensive care and emergency department, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Blagica Krsteska Institute for pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Marija Joksimovikj University clinic for gynecology and obstetrics, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Slavoljub Ivanovski Resident of Cardiology- University Clinic of Cardiology- Skopje, North Macedonia

Abstract

We present a complex case of a 42-year-old woman with a history of radical abdominal hysterectomy for mesonephric adenocarcinoma of the cervix, nephrectomy for renal dysfunction, and prior breast tumor excision, who underwent elective surgery for symptomatic pelvic cystic lesions. Diagnostic imaging and elevated ROMA score indicated potential neoplastic etiology. Exploratory laparotomy revealed paraovarian and mesothelial cysts, with dense pelvic adhesions. Histopathology confirmed benign cystic lesions. This case highlights the importance of multidisciplinary evaluation and tailored surgical intervention in patients with complex oncologic and surgical histories.

Keyword: Mesonephric adenocarcinoma, paraovarian cyst, mesothelial cyst, adhesions, radical hysterectomy, exploratory laparotomy.

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