Onuzo Chibuikem N, Gordon Afua S, Amoatwo Jacob K A, Kuti Christiana K, Taylor Peter, Sefogah Promise E
Department of Obstetrics and Gynaecology, University of Ghana Medical Center, Legon, Accra, Ghana.
Department of Obstetrics and Gynaecology, University of Ghana Medical School, Korle Bu, Accra, Ghana.
Int J Surg Case Rep. 2024 Jun;119:109732. doi: 10.1016/j.ijscr.2024.109732. Epub 2024 May 8.
Giant ovarian cysts are rare and usually pose significant diagnostic challenges especially in adolescents and young adults. There is limited report of such cases reported in existing literature with hardly any cases published from the Sub-Sharan African region.
We present the case of a 24-year-old young woman who reported to our gynaecology clinic on the 23rd of January 2023 with a year's history of a progressively increasing abdominopelvic mass. She was successfully managed surgically and made smooth recovery.
Based on the history and examination findings, confirmed the diagnosis clinically with abdomino-pelvic ultrasound scan, removed the tumour surgically and undertook histopathological studies to confirm a benign disease. To the best of our knowledge, our successful management of this patient is the first case of such a huge borderline ovarian tumour reported in Ghana and the Sub-Saharan African region to inform clinicians on safe surgical management in our context.
Our successful management of this giant mucinous BOT reiterates the fact that in the absence of precise prognostic marker of malignancy, clinicians should always balance the oncologic safety of the patient against less radical treatment modality.
巨大卵巢囊肿较为罕见，通常会带来重大的诊断挑战，尤其是在青少年和年轻成年人中。现有文献中关于此类病例的报道有限，撒哈拉以南非洲地区几乎没有相关病例发表。
我们报告一例24岁年轻女性病例，她于2023年1月23日前往我们的妇科诊所就诊，有一年来腹盆腔肿物逐渐增大的病史。她通过手术成功治疗并顺利康复。
根据病史和检查结果，通过腹盆腔超声扫描在临床上确诊，手术切除肿瘤并进行组织病理学研究以确诊为良性疾病。据我们所知，我们对该患者的成功治疗是加纳和撒哈拉以南非洲地区报道的首例如此巨大的卵巢交界性肿瘤病例，为我们当地的临床医生提供安全手术管理的参考。
我们对这例巨大黏液性交界性肿瘤的成功治疗再次强调了一个事实，即在缺乏精确的恶性肿瘤预后标志物的情况下，临床医生应始终在患者的肿瘤学安全性与不太激进的治疗方式之间取得平衡。
