Giant ovarian cystadenoma weighing 59 kg

Fobe, Didier; Vandervurst, Tom; Vanhoutte, Laetitia

doi:10.1007/s10397-010-0593-0

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…The timeframe to seek medical treatment varies in patients with this tumor due to different presenting symptoms, their willingness to seek medical attention, and their economic status. In some patients the diagnosis can be overlooked because of pronounced obesity or self-neglect in patients who present at a late stage [14]. In addition, fear and anxiety of being diagnosed with cancer can be another factor, as seen in our patient.…”

Section: Discussionmentioning

confidence: 90%

A 27-kg Giant Ovarian Mucinous Cystadenoma in a 72-Year-Old Postmenopausal Patient: A Case Report

Akhras

Faroog

et al. 2019

Am J Case Rep

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Patient: Female, 72Final Diagnosis: Benign ovarian mucinous cystadenomaSymptoms: Difficulty breathing and ambulation • heartburn • reflux • early satiety • nauseaMedication: —Clinical Procedure: Total abdominal hysterectomy along with bilateral salpingo-oophorectomySpecialty: Obstetrics and GynecologyObjective:Rare diseaseBackground:Mucinous cystadenoma is a benign cystic ovarian tumor arising from the surface epithelium of the ovary; it usually presents with vague, unspecific abdominal symptoms. If not detected early, they have the potential to grow to a substantial size and can present with huge abdominal distention leading to various compression symptoms. Mucinous cystadenomas most commonly occur in the third to sixth decades of life, and rarely occur in extremes of age. The reported incidence of giant ovarian cystadenoma in postmenopausal women is low or relatively unknown due to widespread use of ultrasound and other radiological imaging modalities these days. Here, we report a case of giant mucinous cystadenoma in a 72-year-old postmenopausal woman with multiple comorbidities.Case Report:We present the case of a 72-year-old postmenopausal high-risk patient who presented with a huge abdominal distention which started gradually 1 year before. Abdominopelvic ultrasound showed a left giant multiloculated abdominal cyst. An intact 27-kg ovarian cyst was removed, and a total abdominal hysterectomy (TAH) along with bilateral salpingo-oophorectomy (BSO) was performed. The final histopathological report showed a benign ovarian mucinous cystadenoma.Conclusions:Mucinous cystadenoma is a benign neoplastic disease that can reach a massive size. They are rare in the post-menopausal age group, but when they do occur, they pose a diagnostic and therapeutic challenge. This case report highlights the importance of early detection and management of adnexal masses in postmenopausal high-risk patients to decrease preoperative and postoperative complications and improve quality of life.

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Section: Discussionmentioning

confidence: 90%

A 27-kg Giant Ovarian Mucinous Cystadenoma in a 72-Year-Old Postmenopausal Patient: A Case Report

Akhras

Faroog

et al. 2019

Am J Case Rep

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“…Socio-economic status of most patients in SSA contributes to late presentation and diagnosis. The cultural believes of some patients and the fear of surgical procedures cause many patients to refuse surgery and only accept it when symptoms are totally unbearable [ 17 ]. 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.…”

Section: Discussionmentioning

confidence: 99%

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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“…11 The cysts were benign in 72.7% of cases and borderline or malignant in 27.2% of cases. 11,15 In a literature review, Einenkel et al found an overall malignancy rate of 37% in giant ovarian cysts. 12 The differential diagnosis can be difficult to establish in the presence of abundant ascites.…”

Section: Discussionmentioning

confidence: 99%

Management of Giant Ovarian Cysts: A Review of 5 Case Reports

DiopBalla

Mansour²,

Abdoulaye

et al. 2016

Journal of Gynecologic Surgery

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Background: Articles on giant ovarian cysts have become less common in medical literature. These cysts mimic ascites, presenting with abdominal distension and shifting dullness. They are predominantly serous and mucinous cystadenomas. Rare cases of low-grade of malignant tumors and adenocarcinomatous ovarian cysts have been reported. Materials and Methods: This was a retrospective descriptive study of 5 cases recruited between 2009 and 2012. The selected patients had large ovarian cysts extending to the epigastric region. Solid, mixed, or predominantly solid ovarian cysts were excluded from the study. Results: The mean age of the patients was 28, with extremes of ages 22 and 39. Ascites was detected clinically with transabdominal fluid thrills in all cases. Cysts were unilocular in 4 cases and multilocular in 1 case. Oophorectomy and salpingectomy were performed without preoperative drainage. Histology testing showed serous cystadenoma in 4 cases and mucinous low-grade adenocarcinoma in 1 case. The average follow-up time was 54 months. No recurrences were observed. Conclusions: Imaging (ultrasound, computed tomography, and/or magnetic resonance imaging) is paramount for planning management of giant ovarian cysts as imaging facilitates the distinction between ascites and pseudoascites as well as the identification of any suspicious features of malignancy (multiple partitions, and endo-or exocystic vegetations). Complete excision without opening the cyst is the procedure of choice. ( J GYNECOL SURG 32:162)

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Giant ovarian cystadenoma weighing 59 kg

Cited by 10 publications

References 4 publications

A 27-kg Giant Ovarian Mucinous Cystadenoma in a 72-Year-Old Postmenopausal Patient: A Case Report

A 27-kg Giant Ovarian Mucinous Cystadenoma in a 72-Year-Old Postmenopausal Patient: A Case Report

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

Management of Giant Ovarian Cysts: A Review of 5 Case Reports

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