Complete resection of a giant ovarian tumour

Madhu, Y. C.; Harish, K; Pipara, Gotam

doi:10.1016/j.gynor.2013.05.001

Cited by 20 publications

(23 citation statements)

References 6 publications

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“…[15,16] In 1994, O'Hanlan [15] removed the largest known cystic tumour, weighing 137.4 kg. Madhu et al [16] recently reported a complete resection of a giant ovarian tumour weighing 57 kg, similar to our patient. To our knowledge, our patient had the largest tumour (55 kg) ever reported in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

Bilateral synchronous benign ovarian neoplasm: A rare occurrence

et al. 2017

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CASE REPORTBilateral synchronous ovarian tumours are defined as the occurrence of two or more histologically distinct tumours in the ovaries. Synchronous tumours of the female genital tract are rare and the association of mature cystic teratoma with contralateral serous cystadenoma is uncommon. We report the rare occurrence of a giant mature cystic teratoma with a coexisting contralateral serous cystadenoma in a 32-year-old para 5. The patient refused an initial offer for surgery 10 years earlier, and had three successive term pregnancies and deliveries, with the tumour intact. She later had bilateral salpingo-oophorectomy of a 55 kg left ovarian mass and a 2 kg right ovarian mass, which revealed a left ovarian benign cystic teratoma and a right ovarian papillary serous cystadenoma at histology. Neglected ovarian tumours are still encountered in sub-Saharan Africa and may involve diagnostic and management challenges. There is a need to educate women and the community on ovarian neoplasms and the need to present early for effective management. Women's reproductive health rights need to be encouraged and possibly legislated in our setting.

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Section: Discussionmentioning

confidence: 99%

Bilateral synchronous benign ovarian neoplasm: A rare occurrence

et al. 2017

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“…It should be noted that a patient with a huge ovarian tumor who needed IVC ligation during a second laparotomy, due to the preoperative IVC filter being occluded with a massive thrombus, has been reported [4]. To our knowledge, 28 patients with ovarian tumors weighting more than 40 kg have been reported since 1971 [1,2,5,6,7,8]. Of these, eight underwent removals of the tumor en block, seven underwent resection with intraoperative drainage, and 13 underwent resection with or without intraoperative drainage after preoperative drainage.…”

Section: Discussionmentioning

confidence: 99%

A Giant Ovarian Tumor Causing Anasarca and Dyspnea Successfully Managed after Preoperative Drainage

Yamaguchi

Tashiro²,

Takaishi³

et al. 2015

Gynecol Obstet Invest

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Serious complications are likely to accompany the treatment of giant ovarian tumors, and resection with or without preoperative drainage has been previously reported. Here, we report the case of a 27-year-old Japanese woman with a significant weight gain of 50 kg, who was referred to the Kumamoto University Hospital because of gait impairment and dyspnea. Imaging tests revealed an ovarian tumor, 37 cm in diameter, with two solid components. The patient's condition improved after the removal of 31.5 l tumor fluid by using a suprapubic urinary catheter for 3 days. The tumor was subsequently resected without complications, and was diagnosed as a left mucinous ovarian tumor with malignant components, weighing 37 kg (81.5 lb). The patient was discharged after her anasarca improved, and her body weight decreased from 100 to 50 kg with accompanying considerable urination within two weeks. She was in good condition with no evidence of recurrence at 15 months after surgery. Tumor resection after preoperative drainage was effective in the management of a patient with dyspnea induced by a giant ovarian tumor. We suggest the use of a suprapubic urinary catheter for preoperative drainage because of its ease of use in preventing fluid leakage from the possibly malignant tumor.

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“…Due to rarity and a lack of standardized definition, the incidence or prevalence rate of a giant ovarian tumor could not be ascertained. Giant ovarian cysts are seen more frequently between the third and sixth decades of life [5][6]. A review of the literature does show sporadic case reports of these cysts, especially in postmenopausal women [7][8][9][10][11].…”

Section: Epidemiologymentioning

confidence: 99%

“…Of all serous tumors, about 70% are benign, 5%-10% have borderline malignant potential, and 20%-25% are frankly malignant. They tend to be multilocular and can include papillary projections but unilocular serous cystadenomas are not uncommon [6].…”

Section: Demographymentioning

confidence: 99%

Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

Albers¹,

Ranjit²,

Sapra³

et al. 2020

Cureus

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Giant ovarian cysts, which are described in the literature as measuring more than 10 cms in size in their largest diameter, are rare in occurrence. With the availability of multiple imaging modalities and routine physical examinations, it has become even rarer to find such cases. Ovarian serous cystadenomas, which are benign tumors arising from the ovarian epithelium, represent the most common type. We present a case of a 58-year-old female who came to establish primary care in our clinic. She reported ongoing symptoms of constipation, abdominal discomfort, bloating, as well as intermittent postmenopausal bleeding for the past few months. The patient reported taking over-the-counter medications for her predominant gastrointestinal symptoms with no improvement at all. Transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) of the pelvis revealed the presence of giant bilateral ovarian masses measuring more than 17 X 10cms each. Further testing revealed highly elevated levels of tumor markers cancer antigen 125 (CA-125) and human epididymis protein 4 (HE-4). The patient subsequently underwent total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO). Her histopathology report revealed the presence of bilateral benign cystadenomas. From a primary care physician's perspective, this case highlights the importance of possible rare pathologies that can present with symptoms of a completely unrelated organ system. Even with the rarity of these cases, a clinician may encounter such a case in their everyday practice. Patients can endorse a plethora of vague complaints, often masquerading other entities seen commonly in the clinic.

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Complete resection of a giant ovarian tumour

Abstract: HighlightsMassive ovarian tumour weighing 56.95 kgs or 125.29 lbs removed in toto – HPE : mucinous cyst adenomaPost operatively - had a parietal wall bleed - re-explored and hemostasis achieved

Cited by 20 publications

References 6 publications

Bilateral synchronous benign ovarian neoplasm: A rare occurrence

Bilateral synchronous benign ovarian neoplasm: A rare occurrence

A Giant Ovarian Tumor Causing Anasarca and Dyspnea Successfully Managed after Preoperative Drainage

Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

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