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巨大卵巢肿瘤。

Giant Ovarian Tumor.

机构信息

Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Rejtana 16c, 35-959 Rzeszow, Poland.

Department of Gynecology, Gynecology Oncology and Obstetrics, Fryderyk Chopin University Hospital, 35-055 Rzeszow, Poland.

出版信息

Medicina (Kaunas). 2023 Oct 15;59(10):1833. doi: 10.3390/medicina59101833.

Abstract

Giant ovarian tumors are rare, as most cases are diagnosed during routine gynecological check-ups or abdominal ultrasound examinations. They are a challenge for gynecologists and surgeons. Diagnosis in such patients is difficult due to the limitations of the medical apparatus. Perioperative management requires specialized anesthetic medical care and is associated with high mortality. The paper presents the case of a 23-year-old woman with a giant ovarian serous tumor, characterized by an enlargement of the abdominal circumference, periodic abdominal pain, irregular menstruation, and infertility. The patient attributed these nonspecific symptoms to obesity; therefore, she was hesitant to schedule a doctor's appointment. The patient underwent laparotomy, and the cyst originating from the left ovary was removed along with part of the organ. An intraoperative examination was performed. After confirming the benign nature of the lesion, the operation was completed. In our work, we concentrated on the multidisciplinary care of the patient who required enhanced medical care from the internal medicine, cardiology, anesthesiology, rehabilitation medicine, and gynecology specialists. There were no hemodynamic changes in the heart during hospitalization. There were no significant early or late postoperative complications. In this case, we also paid attention to compression symptoms resulting from a giant ovarian tumor and the high risk of intraoperative complications resulting from its resection.

摘要

巨大卵巢肿瘤罕见,多数在妇科检查或腹部超声检查时偶然发现。此类肿瘤对妇科医生和外科医生是一种挑战。由于医疗仪器的局限性,此类患者的诊断存在困难。围手术期管理需要专门的麻醉医疗护理,并伴有较高的死亡率。本文介绍了一位 23 岁女性的病例,她患有巨大卵巢浆液性肿瘤,表现为腹围增大、周期性腹痛、月经不规则和不孕。患者将这些非特异性症状归因于肥胖,因此迟迟不愿预约就诊。患者接受了剖腹手术,切除了起源于左侧卵巢的囊肿和部分卵巢组织。术中进行了检查。在确认病变为良性后,完成了手术。在我们的工作中,我们专注于对该患者的多学科护理,该患者需要内科、心脏病学、麻醉学、康复医学和妇科专家提供强化医疗护理。住院期间心脏无血流动力学变化。无明显早期或晚期术后并发症。在这种情况下,我们还关注了巨大卵巢肿瘤引起的压迫症状以及切除引起的术中并发症的高风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/217a/10608514/9d843175f01c/medicina-59-01833-g001.jpg

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