Case of a giant mucinous ovarian carcinoma with bone metastasis

Nakamura, Manabu; Saitoh, Maki; Miyamoto, Sachio; Kubo, Yuko; Tomita, Hatsuo; Andoh, Akihiko

doi:10.1111/j.1447-0756.2005.00340.x

Cited by 10 publications

(14 citation statements)

References 1 publication

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“…It should not be underestimated that successful management of such cases requires a multidisciplinary team approach to manage many challenges due to potential severe cardiovascular and respiratory complications induced by vena cava compression and alteration of intraabdominal pressure, technical difficulties of surgery, massive blood loss, and, postoperatively, infection and weakness of the stretched abdominal wall and diaphragmatic muscles with severe intestinal distension, ventral herniation, ventilatory failure, atelectasis, and reexpansion pulmonary edema (2,6,10,16,17,18) .…”

Section: Commentmentioning

confidence: 99%

Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?

Einenkel

Alexander²,

Schotte

et al. 2006

Int J Gynecol Cancer

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There has been a considerable debate over the merits of a pre- or intraoperative drainage of giant ovarian cysts, which represented a very frequent approach before definitive surgery in the past. Including our presented case of a 57-year-old woman with a 49 kg mucinous cystadenoma, 19 patients with giant ovarian cysts weighing more than 40 kg were reported in the literature since 1970. An incidence of 37% of malignant and low malignant potential tumors was found. Based on a critical evaluation of the medical courses and the discussed miscellaneous advantages and complications, we conclude that a pre- and intraoperative drainage should be avoided.

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Section: Commentmentioning

confidence: 99%

Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?

Einenkel

Alexander²,

Schotte

et al. 2006

Int J Gynecol Cancer

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“…7 Complications associated with cyst drainage were: massive bleeding in 9 cases (36.3%); 4,5,7,10-15 repeat surgery resulting from peritonitis and massive bleeding in 2 cases (9.0%); 9,10 re-expansion pulmonary edema, which needed intensive monitoring of respiratory management, in 1 case (4.5%); 9 and pulmonary dysfunction, such as pneumonia and atelectasis, in 2 cases (9%). 6,12 The main advantage of drainage is to shrink the cyst to a more manageable size, facilitating subsequent surgery. This makes it safe to perform the operation by widening the working space.…”

Section: Discussionmentioning

confidence: 99%

“…Giant ovarian tumors are benign tumors, mainly serous or mucinous cystadenomas, but some cases of lowmalignancy-potential tumors and adenocarcinomas have been reported. [2][3][4][5][6][7] The largest ovarian tumor, reported in 1970, weighed 149 kg. 1 There have been 22 resected giant ovarian tumor cases of > 40 kg since then (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…1 Most cases are benign, but some cases of low-malignant-potential tumors or adenocarcinomas have been reported. [2][3][4][5][6][7] Their management, especially whether and when to drain the cysts, has been discussed over the years, but there is no clear consensus. Complications associated with the removal of giant ovarian tumors have been described, including massive bleeding or re-expansion pulmonary edema.…”

Section: Introductionmentioning

confidence: 99%

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Resection of a Giant Ovarian Mucinous Cystadenoma with Intraoperative Drainage

Abe¹,

Iwaoki

Tanji³

et al. 2012

Journal of Gynecologic Surgery

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Background: Giant ovarian tumors are now rarely encountered, because of the wide availability of medical care, and most cases are benign. Case: A rare case of a giant ovarian cystadenoma in a 41-year-old woman, with such severe abdominal distension that she could not walk, is reported. Her abdominal girth was 141 cm. The patient was 151 cm tall and weighed 92.6 kg. Computed tomography (CT) showed a large, multilocular, cystic tumor that occupied the whole abdomen. The preoperative diagnosis was malignant ovarian tumor or ovarian cystadenoma. Results: On laparotomy, gradual intraoperative drainage of the tumor was first performed over 2 hours, and then total hysterectomy with bilateral salpingo-oophorectomy was performed successfully. Pathologic findings confirmed that the tumor was a mucinous cystadenoma. Conclusions: There is a lack of evidence on how to manage such giant tumors in the perioperative period; however, in the present case, intraoperative drainage and tumor resection were safely performed without complications. ( J GYNECOL SURG 28:215)

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“…Although several authors stated that giant ovarian cysts are usually benign, there have been reports of malignant tumors or tumors of low malignant potential [12]. The excision of giant ovarian cysts by laparotomy requires lager incision.…”

Section: Discussionmentioning

confidence: 99%

A Case of Giant Ovarian Cyst Managed Successfully Through Laparoscopic Surgery

Kim

Park

et al. 2012

Korean J Obstet Gynecol

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Mucinous ovarian tumors account for 15% all ovarian neoplasms, of which giant variants rarely occur. Recently huge ovarian cysts (more than 12 kg) are now rarely seen because of the development in health care systems and education. The patient is 26-yearold nulligravida female who presented with abdominal distension. A laparoscopic left salpingo-oophorectomy was performed. Laparoscopic approach to giant ovarian cyst may be difficult regarding the risk of cyst rupture and limited working space. To reduce the limitations of the laparoscopy, we performed laparoscopy after aspirating the cystic contents. During laparoscopy, abdominal cavity was explored by the scope. Cyst contained about 53 L of fluid. The histopathologic examination revealed a borderline mucinous tumor of the left ovary. Laparoscopic excision of giant ovarian cyst seems to be safe and applicable treatment modality. Copyright © 2012. Korean Society of Obstetrics and GynecologyLaparoscopic approach is more advantageous over laparotomy, considering better cosmetic results, lesser blood loss, lesser pain and analgesic requirement, faster recovery, and shorter hospitalization time [1]. Laparoscopic approach to giant ovarian cyst, in cases when the cysts' sizes exceed to the umbilicus, may be difficult regarding the risk of cyst rupture and limited working space [2]. However, if the laparotomy is chosen as the operative treatment, a larger incision is required to excise the cyst. We present a case of laparoscopic extirpation of a giant ovarian cyst. Case ReportA 26-year-old woman was referred to our department for a giant abdominal mass in July 2011. She was single and nulliparous female who presented with a gradually increasing abdominal swelling first noticed 4 years ago. Due to the huge mass she was unable to walk and had anorexia and weight gain. At admission, the emaciated patient weighted 120 kg, had a body height of 177 cm and abdominal girth at the level of the umbilicus was 190 cm (Fig. 1). There was no history of colicky pain fainting attacks, vomiting or other gastrointestinal attacks. She had no previous history of any illnesses, allergies or operations. On abdominal examination, abdomen was grossly distended engorged veins present, fluid thrill was present. There were no abnormalities in hematologic and biochemical data including cancer biomarkers CA-125, CA 19-9, and carcinoembryonic antigen. On ultrasonography, a huge, multilocular cystic tumor with low echogenic content was found (Fig. 2). There were no papillary or solid parts of associated with the wall or septa, and no ascites. She could not fit into the computed tomography machine due to the giant abdominal mass. After consultation with the anesthesiology and cardiology teams, the patient was placed in a semiFowler's position in the operating room due to dyspnea, general anesthesia and endotracheal tube intubation was performed. After CASE REPORT Korean J Obstet Gynecol 2012;55(7):534-537 http://dx

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Case of a giant mucinous ovarian carcinoma with bone metastasis

Cited by 10 publications

References 1 publication

Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?

Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?

Resection of a Giant Ovarian Mucinous Cystadenoma with Intraoperative Drainage

A Case of Giant Ovarian Cyst Managed Successfully Through Laparoscopic Surgery

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