Evaluation of a microperforate hymen leading to the incidental diagnosis of a borderline ovarian tumour

Document Type

Article

Publication Date

11-1-2022

Publication Title

BMJ Case Rep

Abstract

Microperforate hymens are rare anatomical variants with an unknown incidence and very few reported cases. Borderline ovarian tumours are similarly uncommon, with an incidence of approximately 0.002%-0.006%. The concurrent presence of a microperforate hymen and a borderline ovarian tumour is therefore exceedingly unique with no documented cases to date. In this report, we review the case of a nulliparous woman in her late 20s who initially presented with an inability to have penetrative intercourse. A subocclusive hymenal variant was noted on examination and further imaging work-up resulted in the incidental discovery of a large ovarian mass subsequently noted to be a borderline ovarian tumour. Herein, we review contemporary approaches to the diagnosis and management of both hymenal variants and borderline ovarian tumours, and discuss fertility-sparing strategies for young women diagnosed with ovarian neoplasms.

Medical Subject Headings

Female; Humans; Hymen; Vaginal Diseases; Ovarian Neoplasms; Genitalia

PubMed ID

36319036

Volume

15

Issue

11

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