Mulita Francesk, Tavlas Panagiotis, Maroulis Ioannis
Department of Surgery, General University Hospital of Patras, Patras, Greece.
Prz Menopauzalny. 2020 Jul;19(2):108-110. doi: 10.5114/pm.2020.97870. Epub 2020 Jul 13.
Ovarian masses are common findings in general gynecology. However giant ovarian mass is a rare finding. In the literature, a few cases of giant ovarian mass have been mentioned sporadically, especially in elderly patients.
We report a 68-year-old postmenopausal woman with a giant right ovarian mass measuring 38 × 31 × 29 cm. She presented to our department with complaints of massive abdominal distention which started gradually 6 months ago. The patient also complained of difficulty in breathing and ambulation. There were no other gastrointestinal, urinary, or gynecological symptoms CA-125 marker was slightly elevated. Because of elevation of serum CA-125 levels, ovarian malignancy was included in differential diagnosis. We performed an ovarian cystectomy without any significant complication. On histopathological examination, the mass was confirmed as benign serous cystadenoma of the right ovary.
Giant ovarian mass is a rare finding in general gynecology. Physicians must maintain heightened awareness and index of suspicion when approaching a woman with pain in any region of the abdomen or pelvis. Further investigation with abdominal and pelvic ultrasonography and magnetic resonance imaging or computed tomography is necessary. Benign lesions can be found even in patients presenting with giant masses and higher CA-125 than normal levels.
卵巢肿物是普通妇科常见的检查发现。然而，巨大卵巢肿物是一种罕见的发现。在文献中，仅有少数几例巨大卵巢肿物的病例被零星提及，尤其是在老年患者中。
我们报告一例68岁绝经后女性，其右侧卵巢有一巨大肿物，大小为38×31×29厘米。她因6个月前逐渐出现的腹部明显膨隆前来我科就诊。患者还主诉呼吸和行走困难。无其他胃肠道、泌尿系统或妇科症状，CA-125标志物轻度升高。由于血清CA-125水平升高，卵巢恶性肿瘤被纳入鉴别诊断。我们实施了卵巢囊肿切除术，未出现任何严重并发症。组织病理学检查显示，该肿物被确诊为右侧卵巢良性浆液性囊腺瘤。
巨大卵巢肿物在普通妇科中是一种罕见的发现。当接诊有腹部或盆腔任何部位疼痛的女性时，医生必须保持高度警惕并提高怀疑指数。有必要进一步进行腹部和盆腔超声以及磁共振成像或计算机断层扫描检查。即使在表现为巨大肿物且CA-125高于正常水平的患者中也可能发现良性病变。
