Giant ovarian cyst: a diagnostic and therapeutic challenge
F. Savulescu, O. Albita, O. Nicodin, V. Virjoghe, T. Rogin, C. Cirlan, M. Tampa
Abstract: Nowadays giant ovarian tumors are rare neoplasms and represent a great diagnosis and therapeutic challenge. We present the case of a 68-year-old woman admitted to our department with a history of progressive abdominal distension, constipation and polakiuria. Based on clinical findings, laboratory evaluation and imaging investigations our suspicion of diagnosis was: giant abdominopelvic mass. Exploratory laparotomy revealed a large cystic mass arising from the right adnexa. Bilateral salpingo-oophorectomy was performed. Histologically, the specimen was a 26 kg benign ovarian cystadenoma measuring 40/30/20 cm, the largest ovarian tumor operated in our surgical department. The main goals of optimal surgical management were: carefully organizing all the procedure steps, anticipating any possible complications and being able to deal with them.
DOI:10.18643/gieu.2014.32