Giant mucinous cystadenocarcinoma of ovary: A case report and review of literature

Katke, Rajshree Dayanand

doi:10.4103/0976-7800.179167

Cited by 24 publications

(31 citation statements)

References 2 publications

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“…This case emphasises that while operating on such huge tumour care has to be taken to manage these complications as well as the problems associated with sudden decompression [7]. Our case also emphasises that management of ovarian cyst depends on the patients age, the size of the cyst and its histopathological nature for large ovarian masses with a risk of malignancy we suggest laparotomy and intraoperative frozen section.…”

Section: Resultsmentioning

confidence: 99%

A Huge Ovarian Mucinous Cystadenoma (8.5kg) Leading to Bilateral Hydronephrosis: A Case Report and Review of Literature

Katke¹

2017

MOJCR

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Section: Resultsmentioning

confidence: 99%

A Huge Ovarian Mucinous Cystadenoma (8.5kg) Leading to Bilateral Hydronephrosis: A Case Report and Review of Literature

Katke¹

2017

MOJCR

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“…Giant ovarian cysts constitute a challenging condition in general practice because of their nonspecific clinical features and findings from physical examination resulting to a wide range of differential diagnoses [ 10 ]. These differential diagnoses include pelvic endometriosis, intra-abdominal pregnancy, intra-abdominal cysts from varying origins (omentum, ovary, kidney, liver, pancreas, cystic lymphangiomas, choledochal cysts), hydronephrosis and accentuated obesity [ 5 , 10 ]. Despite being asymptomatic, GOCs can cause serious complications like torsion, suppuration, obstruction, and perforation necessitating urgent admission [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our patient assumed the increasing abdominal gait was due to obesity which was not a call for concern and she sought medical attention after it persisted for years. Lack of diagnostic facilities in primary settings in SSA also contributes to late diagnosis [ 10 ]. Although US scans are relatively common in recent practice, it is apparently not used in many centres in SSA partly because of the lack of the expertise to manage them or their absence in these centres.…”

Section: Discussionmentioning

confidence: 99%

“…The actual incidence of GOCs in postmenopausal women is unknown since good imaging modalities now lead to early diagnosis and removal before they develop into huge intra-abdominal masses [ 2 – 4 , 6 ]. Majority of GOCs are benign and are generally treated by surgical excision either by cystectomy or salpingo-oophorectomy [ 2 – 4 , 9 , 10 ]. Malignant ovarian cysts (MOC) constitute over 10% of GOCs and are treated by total abdominal hysterectomy with bilateral salpingo-oophorectomy ± omentectomy [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Giant ovarian cyst masquerading as a massive ascites: a case report

et al. 2017

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BackgroundGiant ovarian cysts are tumours of the ovary presenting with diameters greater than 10 cm. Giant ovarian cysts have become rare in recent days as they are diagnosed and managed early due to the availability of good imaging modalities. The aim of this case report is to show how a huge cystic ovarian mass can mislead the diagnosis of ascites in a postmenopausal woman. Factors associated with late presentation of giant ovarian cysts in sub-Saharan Africa have also been discussed.Case presentationWe present the case of a 65-year-old grand multiparous woman who was referred to our centre with a grossly distended abdomen misdiagnosed as a massive ascites. Abdominopelvic ultrasound scan revealed a right giant multiloculated ovarian cyst. She benefited from a cystectomy with an uneventful postoperative stay. Histopathology revealed mucinous cystadenoma.ConclusionLarge cystic ovarian tumours can present masquerading as massive ascites and misleading diagnosis as in this case report. We report this case to increase the suspicion index of a large ovarian cyst in all women presenting with massive ascites.

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“…The list of cystic masses of the abdominal cavity is long (Table 1). Size is a major determinant of the clinical diagnosis of such masses; although most adnexal cystic masses are benign, the possibility of malignancy mandates the need for accurate diagnosis and treatment [1,2]. Most authors have suggested that adnexal cysts that are unilocular, unilateral and less than 5 cm are benign [3].…”

Section: Case Report Discussionmentioning

confidence: 99%

Management of a Giant Cystic Mass in a Young Otherwise Healthy Woman

Gaffey¹,

Raper²

2018

ACRI

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A 22-year-old female student presented with pain, early satiety, a dragging sensation in the abdomen, and weight gain. She had been diagnosed with irritable bowel syndrome several years prior based on the symptoms. Over the preceding 6 months, she reported increasing frequency of progressive nausea primarily with meals, emesis nearly every day, and constipation. She noted early satiety but no evidence of dysphagia or odynophagia. Overall, she had a 20-pound weight gain within 4 months prior to diagnosis. The patient had no significant past medical or surgical history. Within her family history, there was no history of ovarian disease, gastrointestinal malignancies, or cystic disease. She reported regular menstrual cycle with an age of menarche of 12. A pregnancy test at admission was negative. Prior to diagnosis she had taken to wearing exclusively yoga pants because belts were uncomfortable.Physical examination was notable for diffuse abdominal distention and a fluid wave without peritonitis or evidence of a hernia. Percussion was dull throughout. A CT scan of the abdomen and pelvis noted a large cystic mass with internal attenuation, occupying the majority of the abdomen with mass effect resulting in superior displacement of the liver, spleen, stomach, as well as the majority of the small bowel located in the left side of the abdomen (Figure 1). Tumor marker studies, including beta-HCG, CA 19-9, carcinoembryonic antigen, and CA125 were negative.After discussion of options including a laparoscopic approach, and the small but real risk of a cancer diagnosis, an open approach was judged best to avoid rupture of the cyst. The patient was taken to the operating room for an exploratory laparotomy. A 40-cm cyst arising from the right ovary was noted (Figure 2) and on full inspection of the abdomen there was a normal appearing uterus, normal left ovary and fallopian tube, normal pelvis and paraaortic lymph nodes, normal peritoneum, and normal bowel. Gynecologists, having obtained prior consent, performed a right oophorectomy and salpingectomy in continuity with the mass. She recovered rapidly with normal dietary intake. The final pathology of the 10.4 kg cyst was serous cystadenofibroma and ovary with hemorrhagic corpus luteum. AbstractWe report a new perspective on the case of a 22-year-old female with no significant medical history who posed a diagnostic and therapeutic challenge; a giant cystic mass of the abdominal cavity. Work up was notable for no significant laboratory abnormalities but a large cystic lesion noted on imaging. The patient underwent open resection. A giant cystic abdominal tumor may present with the common and protean abdominal symptoms of bloating, pain, and early satiety from either mass effect or adhesions to surrounding structures. Caution is advised in attempting the laparoscopic resection of such tumors.

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Giant mucinous cystadenocarcinoma of ovary: A case report and review of literature

Cited by 24 publications

References 2 publications

A Huge Ovarian Mucinous Cystadenoma (8.5kg) Leading to Bilateral Hydronephrosis: A Case Report and Review of Literature

A Huge Ovarian Mucinous Cystadenoma (8.5kg) Leading to Bilateral Hydronephrosis: A Case Report and Review of Literature

Giant ovarian cyst masquerading as a massive ascites: a case report

Management of a Giant Cystic Mass in a Young Otherwise Healthy Woman

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