A case of giant ovarian tumour containing total of 53 liters of serous fluid is reported here. A 61 year old postmenopausal lady presented with shortness of breath to the Casualty Department with underlying history of progressive abdominal distension for 10 years. Clinical assessment and abdominal ultrasound suggest diagnosis of giant ovarian tumour with concurrent pneumonia. Stabilization of her medical condition took priority before surgery. Both pre-and intraoperative drainage of the tumour were performed. Postoperative period was stormy but patient recovered well and was discharged on day 42 post-surgery. Histopathological examination confirmed benign papillary serous cystadenoma of the ovaries.
Authors present a case of vaginal implantation metastasis following a diagnosis of endometrial cancer. A 58-year-old lady presented with postmenopausal bleeding and was later diagnosed to have endometrial cancer. She underwent an extra-fascial hysterectomy and bilateral salpingo-oophrorectomy with pelvic lymphadenectomy for Stage 3A endometrioid adenocarcinoma of the endometrium. The lymph nodes and cervix were free from the disease and no lymphovascular invasion was seen on the pathological specimen. She defaulted adjuvant radiotherapy and was lost to follow up. Six months later she had a tumour recurrence at the vaginal introitus just below the urethral orifice and awal from the vaginal vault with similar histopathological findings as previous cancer. This case highlights the rare occurrence of implantation metastasis of endometrial cancer.
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