Giant ovarian mucinous cystadenoma in a 54-year-old woman
Background. Ovarian cancer develops from benign tumors in 80% of cases during long-term follow-up. According to the literature, the incidence of giant ovarian cystadenoma is extremely low. There are difficulties in verifying these ovarian tumors.Chuprynin V.D., Buralkina N.A., Chursin V.V., Asaturova A.V., Katkova A.S., Zhurba A.Yu.
Description. The paper describes a rare clinical case of a 54-year-old patient with giant ovarian cystadenoma. It depicts the patient’s clinical, medical history, laboratory, and instrumental data and demonstrates the technical complexities of surgery and the features of postoperative management.
Conclusion. The early diagnosis and timely treatment of ovarian tumors will be able to avoid technically difficult surgical interventions and to minimize postoperative complications, which will substantially improve the prognosis of the disease. Such operations should be performed by a surgeon having extensive surgical experience and high qualification.
Keywords
tumors of the uterine appendages
giant mucinous cystadenoma
ultrasound study
markers CA-125 and CA 19-9
magnetic resonance imaging (MRI)
anemia
laparotomy
adnexectomy
Supplementary Materials
- Fig. 1. Ultrasound of the pelvic organs and abdominal cavity
- Fig. 2. Progress: the capsule of formation is attached to the wound
- Fig. 3 (a, b). Course of operation: puncture of cystoma with fractional evacuation of contents - serous fluid - 8 vessels (32 liters)
- Fig. 4. Progress: an infiltrate involving ovarian tissue, sigmoid colon, bladder, clipping of the cystoma capsule
- Fig. 5. Macroperate: weight - 4,5 kg. Result of urgent histological examination: Mucinous ovarian cystadenoma
- Fig. 6. Type of patient before and after surgery. Stitching seam using a skin stapler
- Fig. 7. Result of histological conclusion: mucinous cystadenoma of the left ovary
References
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Received 09.06.2017
Accepted 23.06.2017
About the Authors
Chuprynin Vladimir Dmitrievich, PhD, Head of the Department of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology,Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954383575. E-mail: v_chuprynin@oparina4.ru
Buralkina Natalya Aleksandrovna, doctor of Medical Sciences, Senior Researcher, the second gynecological department, Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833. E-mail: n_buralkina@oparina4.ru
Chursin Vyacheslav Vladimorovich, doctor surgeon of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833. E-mail:v_chursen@oparina4.ru
Alexandra Vyacheslavovna Asaturova, PhD, senior scientific researcher of pathology department, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 119997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954382311. E-mail: a_asaturova@oparina4.ru
Katkova A.S., clinical resident, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia.
119997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: a_katkova@oparina4.ru
Zhurba A.Yu., 5th year student of I.M. Sechenov First Moscow State Medical University.
119997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: anastassia.zhurba@gmail.com
For citations: Chuprynin V.D., Buralkina N.A., Chursin V.V., Asaturova A.V., Katkova A.S., Zhurba A.Yu. Giant ovarian mucinous cystadenoma in a 54-year-old woman. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (1): 148-53. (in Russian)
https://dx.doi.org/10.18565/aig.2018.1.148-153
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