Giant ovarian mucinous cystadenocarcinoma: A case report

Shrestha, Basudha; Shrestha, Suraj; Kharel, Sanjeev; Aryal, Shiva; Rauniyar, Robin; Kuikel, Sandip; Tiwari, Sansar Babu; Chaurasia, Hemu; Chapagain, Suman; Shrestha, Prezma

doi:10.1002/ccr3.6067

Cited by 4 publications

(1 citation statement)

References 17 publications

(31 reference statements)

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“…[15][16][17][18][19][20] These IGBCs were later diagnosed and confirmed by histopathology. Similarly, the Gross and Macroscopic findings are overlapping for other Routine histology supporting studies by Sangwan et al, 28 Ul-Haq et al, 29 Shrestha et al, 30 Khan et al, 31 and selective histology recommending studies like; Alabi et al, 32 Corten et al, 33 Sajjad et al, 34 Byars et al, 35 Darmas et al, 36 and Dix et al of Cholecystectomies done worldwide and the huge number of resources utilized for doing their histopathology, relatively low incidence of gallbladder cancers, the bad prognosis of the tumour with treatment benefits of early diagnosis and disastrous consequences with an undiagnosed GBC. However, the central point of discussion between these studies is detecting the IGBC.…”

Section: Bias Risk In Studiessupporting

confidence: 78%

Role of Detailed Intraoperative Macroscopic Examination of Cholecystectomy Specimens for Deciding Specimens Needing Histological Evaluation for Diagnosing Incidental Carcinoma of Gallbladder at the Earliest? A Systematic Review

2022

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Background: Several studies recommending selective or routine histopathological examination of gallbladder specimens have been done. However, the argument between these studies is based on intraoperative suspicion of IGBC (incidental gallbladder carcinoma) for deciding on specimen sending. This study aims to know whether a detailed intraoperative examination of cholecystectomy specimens is required for deciding on specimens needing histological evaluation and suspecting IGBCs at the earliest. Methodology: The systematic review has been done as per the PRISMA guidelines. Various articles were searched in Scopus, PubMed, Web of Science and Science Direct databases. This systematic review comprises studies involving patients diagnosed with benign gallbladder disease that underwent cholecystectomy but were later diagnosed with IGBC on routine or selective histological examination. Results: Out of the 26 studies that were chosen, 12 recommended routine histopathology and 14 recommended selective histopathology. The total number of gallbladders included in these studies was 79769, and the IGBCs diagnosed on histology were 494. The gross macroscopy of IGBCs diagnosed in routine histology recommending studies overlapped with the intraoperative macroscopic picture of the IGBCs diagnosed in selective histology recommending studies based on which the surgeons suspected them, thereby showing a need for detailed intraoperative macroscopic examination of gallbladders to avoid overlooking any IGBC. Conclusion: Detailed intraoperative examination of cholecystectomy specimens is essential for suspecting IGBCs at the earliest and for selective histopathology, as in its absence, a significant number of IGBCs are missed by surgeons. Keywords: cholecystectomy, pathology, gallbladder, carcinoma

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Section: Bias Risk In Studiessupporting

confidence: 78%

Role of Detailed Intraoperative Macroscopic Examination of Cholecystectomy Specimens for Deciding Specimens Needing Histological Evaluation for Diagnosing Incidental Carcinoma of Gallbladder at the Earliest? A Systematic Review

2022

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Clinicopathological analysis of giant ovarian tumors

Tjokroprawiro,

Novitasari,

Ulhaq

et al. 2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Giant mucinous cystadenocarcinoma of ovary in a young woman: a case report and review of literature

Zhu,

Yao,

Xiong

et al. 2024

Front. Oncol.

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In April 2023, we successfully treated a 21-year-old patient afflicted with a rare giant cystadenocarcinoma, an extraordinarily large mucinous ovarian tumor that weighed nearly 25 kg. The preoperative dimensions of the tumor measured 40 × 30 × 34 cm, with the tumor’s weight nearing 25 kg. Despite its uncommon nature, we elected to perform a right adnexectomy, greater omentectomy, and peritoneal biopsy during the surgical intervention due to the patient’s youth and the family’s expressed desire to preserve fertility. In the subsequent August follow-up, CT scans revealed the complete resolution of the tumor, accompanied by the normalization of tumor markers, indicating a favorable outcome.

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Giant ovarian mucinous cystadenocarcinoma: A case report

Abstract: Giant ovarian tumors are rare in the present day due to the early diagnosis and treatment. However, owing to the large size, it can often compress the inferior vena cava and sudden decompression of it during the removal can lead to hemodynamic instability with disastrous outcomes.

Cited by 4 publications

References 17 publications

Role of Detailed Intraoperative Macroscopic Examination of Cholecystectomy Specimens for Deciding Specimens Needing Histological Evaluation for Diagnosing Incidental Carcinoma of Gallbladder at the Earliest? A Systematic Review

Role of Detailed Intraoperative Macroscopic Examination of Cholecystectomy Specimens for Deciding Specimens Needing Histological Evaluation for Diagnosing Incidental Carcinoma of Gallbladder at the Earliest? A Systematic Review

Clinicopathological analysis of giant ovarian tumors

Giant mucinous cystadenocarcinoma of ovary in a young woman: a case report and review of literature

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