A 36 kg Giant Ovarian Fibroma with Meigs Syndrome: A Case Report and Literature Review of Extremely Giant Ovarian Tumor

Abstract

Ovarian tumors can get extremely giant to occupy the whole abdominal cavity. We report a case of 36 kg solid ovarian tumor, which was the largest ovarian solid tumor that have been ever reported. A 54-year-old woman presented to our hospital with a chief complaint of markedly distended abdominal wall. Preoperative imaging examinations revealed that most of the tumor was uniform and its density was like that of subcutaneous fat. Pleural effusion was detected in the right thoracic region. We organized a multidisciplinary team and successfully resected the right adnexa. The patient had an uneventful postoperative course, and she was discharged on the 7th postoperative day and diagnosed with a fibroma of the ovary with Meigs syndrome. A comprehensive literature search revealed 48 cases of extremely giant ovarian tumor in these 20 years. Six out of 48 cases are solid. Twelve out of 48 cases are malignant or borderline malignant, and patients’ age and tumor size/weight were not related to the frequency of malignancy/borderline malignancy. As many as 4 out of 48 patients died before their first hospital visit or early after surgery. Clinicians should consider a considerable high mortality and frequency of severe surgical complications when planning the treatment strategy for extremely giant ovarian tumors.

Successful management of a patient with preoperative respiratory failure due to a solid giant retroperitoneal tumor: a case report

“…It is also known that careful preoperative drainage of the liquid-type contents (such as the contents of ovarian tumors) can reduce the likelihood of respiratory complications after the surgery [ 2 , 3 , 9 ]. In the present patient, due to the tumor’s solidity, it was impossible to reduce the mass effects of the giant retroperitoneal liposarcoma immediately by draining the tumor contents, and the emergency surgery could not be conducted because of the patient’s unstable physical condition and the highly difficult operation which needed special surgical team with urological and gastroenterological surgeons.…”

Ovarian Fibroma Presents As Uterine Leiomyoma in a 61-Year-Old Female: A Case Study

“…Sometimes patients may notice abdominal enlargement and urinary problems, and experience heaviness, discomfort, and pain [ 1 ]. If left undetected, they may grow up to occupy the whole abdominal cavity causing severe complications [ 7 ]. It is often difficult to diagnose ovarian fibroma due to its similarity with uterine tumors [ 1 , 8 ].…”