A Huge Malignant Ovarian Tumor: A Case Report

Abstract

Objective:Rare disease Background:Huge ovarian tumors are rare. In developing countries, many women with huge ovarian tumors only seek consultation when the tumor has become very large. Most cases are benign, and only a few cases were reported to be malignant. This case report presents a case of huge malignant ovarian tumor with a final diagnosis of stage III epithelial ovarian cancer. The tumor was completely removed. The huge malignant ovarian tumor in this case report was completely excisable. Case Report:A 43-year-old woman visited the tertiary hospital in Surabaya Indonesia in early September 2020 with a complaint of an enlarged abdomen. The patients had 3 children and normal menstrual periods. Her bowel function was normal. The patient started to notice the abdominal enlargement at 3 months prior to seeking treatment. Ultrasound examination showed a unilocular cystic mass with a diameter of >25 cm, and a solid nodule with normal vascularity was seen. No ascites was noted. Histopathologic examination showed an ovarian mass weighing 9700 g with a size of 30×28×14 cm. The final result showed that the tumor was malignant; specifically, the tumor was a sero-mucinous adenocarcinoma of the left ovary, grade II, which had metastasized to the omentum. Conclusions:Huge malignant ovarian tumors tend to be at an early stage when the diagnosis is made, and they are completely excisable.

Seromucinous carcinoma of ovary - A rare entity

“…In terms of practicality and safety in comparison to laproscopy, laprotomy is preferred. 9 Post surgery the patient is doing well and there was decline in levels of CA125 and CEA. No post-operative chemotherapy or radiotherapy is required for the patient.…”