A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma: A Case Report with Brief Literature Review

Fatema, Nishat; Badi, Muna Mubarak Al

doi:10.1155/2018/5478328

Cited by 14 publications

(25 citation statements)

References 12 publications

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“…Treatment of ovarian cysts depends on the patient's age, size of the cyst and its histopathological nature. Conservative surgery naming ovarian cystectomy, salpingo-oophorectomy are adequate in case of benign lesions [8,9]. Meanwhile for larger ovarian masses with a risk of malignancy, laparotomy and intraoperative intraperitoneal exploration and a biopsy of the diaphragm, omentum, the Pouch of Douglas and right and left side colon needs to be done.…”

Section: Discussionmentioning

confidence: 99%

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2021

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Section: Discussionmentioning

confidence: 99%

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“…Giant ovarian cysts are seen more frequently between the third and sixth decades of life [5][6]. A review of the literature does show sporadic case reports of these cysts, especially in postmenopausal women [7][8][9][10][11].…”

Section: Epidemiologymentioning

confidence: 99%

“…Benign serous tumors, which include cystadenomas, adenofibromas, and surface papillomas, account for about 25% of all benign ovarian tumors and 58% of all serous ovarian tumors [7,9].…”

Section: Demographymentioning

confidence: 99%

“…After the initial clinical evaluation, imaging modalities, such as transvaginal and transabdominal ultrasonography, computed tomography (CT), and MRI of the abdomen and pelvis are used to corroborate the diagnosis [4][5][7][8][9][10]12,15]. Clinicians can utilize the Risk of Ovarian Malignancy algorithm to determine the malignant potential of the mass and plan the management accordingly.…”

Section: Diagnosismentioning

confidence: 99%

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Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

Albers¹,

Ranjit²,

Sapra³

et al. 2020

Cureus

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Giant ovarian cysts, which are described in the literature as measuring more than 10 cms in size in their largest diameter, are rare in occurrence. With the availability of multiple imaging modalities and routine physical examinations, it has become even rarer to find such cases. Ovarian serous cystadenomas, which are benign tumors arising from the ovarian epithelium, represent the most common type. We present a case of a 58-year-old female who came to establish primary care in our clinic. She reported ongoing symptoms of constipation, abdominal discomfort, bloating, as well as intermittent postmenopausal bleeding for the past few months. The patient reported taking over-the-counter medications for her predominant gastrointestinal symptoms with no improvement at all. Transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) of the pelvis revealed the presence of giant bilateral ovarian masses measuring more than 17 X 10cms each. Further testing revealed highly elevated levels of tumor markers cancer antigen 125 (CA-125) and human epididymis protein 4 (HE-4). The patient subsequently underwent total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO). Her histopathology report revealed the presence of bilateral benign cystadenomas. From a primary care physician's perspective, this case highlights the importance of possible rare pathologies that can present with symptoms of a completely unrelated organ system. Even with the rarity of these cases, a clinician may encounter such a case in their everyday practice. Patients can endorse a plethora of vague complaints, often masquerading other entities seen commonly in the clinic.

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“…En estudios previos, la definición de quistes ováricos grandes o gigantes se describió como quistes que miden más de 10 cm de diámetro en la exploración radiológica o aquellos quistes que se extienden por encima del ombligo 7,8 .…”

Section: Introductionunclassified

Cistoadenoma seroso ovárico gigante en la posmenopausia. Reporte de un caso

Ayala-Peralta¹,

Vasquez²,

Valiente³

et al. 2020

Investigación Materno Perinatal

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El cistoadenoma seroso de ovario es un tipo de tumor derivado del epitelio celómico superficial. Se denominan quistes ováricos gigantes aquellas que miden más de 10 cm de diámetro o que se extienden por encima del ombligo. En la literatura, algunos casos de quistes ováricos gigantes se han mencionado esporádicamente, especialmente en pacientes posmenopáusicas. Los tumores serosos son comúnmente benignos en 70-80%, 5–10% tiene límite potencial maligno, y 20-25% son malignos. Solo el 10-20% de los casos son bilaterales. Ocurren en adultas de todas las edades, con edades medias reportadas de 40 a 60 años. Se reporta el caso de una mujer posmenopáusica de 79 años con un quiste ovárico izquierdo gigante que mide 14x11x7.5 cm y 794 g de peso conteniendo líquido seroso. Acude a consulta por presentar dolor pélvico tipo cólico irradiada a región lumbar desde hace 4 meses, con antecedente de hipertensión arterial crónica. Teniendo en cuenta la edad y el estado de la menopausia, se le realiza laparotomía para quistectomía izquierda sin ninguna complicación significativa. En el examen histopatológico, el quiste se confirmó como cistoadenoma seroso benigno del ovario. Tuvo evolución posoperatoria favorable.

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A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma: A Case Report with Brief Literature Review

Cited by 14 publications

References 12 publications

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Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

Cistoadenoma seroso ovárico gigante en la posmenopausia. Reporte de un caso

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