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

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.