scholarly journals Ovarian huge serous cystadenoma with torsion in adolescent girl: a case report

Author(s):  
Shweta Avinash Khade ◽  
Sneha Shirodkar

In adolescent Ovarian cysts are an extremely common gynaecological problem. Majority of ovarian cysts are benign with few cases being malignant. Ovarian serous cystadenomas are rare in children. A 14-year-old presented with severe abdominal pain and abdominal distention. She underwent emergency laparotomy and surgical removal, the mass was found to be torsion of ovarian serous cystadenoma-fibroma on histology. In conclusions, germ cell tumours the most important causes for the giant ovarian masses in children. Epithelial tumours should not be forgotten in the differential diagnosis.

2019 ◽  
Vol 3 (1) ◽  
pp. 44-48
Author(s):  
Chin Bahadur Pun ◽  
Sadina Shrestha ◽  
Ranjan Raj Bhatta ◽  
Greta Pandey ◽  
Suraj Uprety ◽  
...  

Introduction: Ovarian cancer is the seventh most commonly diagnosed cancer among women in the world. This study was conducted with the aim to find out different histological types of ovarian tumours reported at B.P. Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal. Methods: This was a retrospective study carried out at the Department of Pathology of BPKMCH from January 1, 2018 to December 31, 2018. This study included the patients who were operated at BPKMCH or referred cases from elsewhere, but the specimen was processed and reported at BPKMCH. All the data were retrieved and analyzed from the records of Pathology Department. Results: Altogether 87 cases of ovarian tumours were reported during the study period. Out of which, 31 cases were benign ovarian tumours whereas 56 cases were malignant ovarian tumours. Both benign and malignant ovarian tumours were most common in age group 41 to 50 years of age. Among benign ovarian tumours, 12 cases were serous cystadenoma, 7 cases mucinous cystadenoma, 6 cases mature cystic teratoma, 2 cases serous cyst adenofibroma, 2 cases benign Brenner tumour and 2 endometroid cystadenoma. Among malignant ovarian tumours, 33 cases were serous cystadenocarcinoma, 11 cases mucinous cystadenocarcinoma, 2 cases immature teratoma, 3 cases were malignant sex cord stromal tumours (granulosa cell tumour), 2 cases dysgerminoma, 1 case yolk sac tumour, 1 case endometroid carcinoma and 3 cases were metastatic adenocarcinoma. Conclusion: Surface epithelial tumours were most common ovarian tumours in this study. Serous cystadenomas were most common benign ovarian tumours whereas serous cystadenocarcinomas were the most common malignant ovarian tumours.  


2017 ◽  
Vol 6 (1) ◽  
pp. 16-20
Author(s):  
S Ranabhat ◽  
M Tiwari ◽  
S Maharjan ◽  
A Bhandari ◽  
M Subedi ◽  
...  

This research was a cross sectional analytic observational histopathological study of cystic ovarian lesions carried out over three years from March, 2012 to February, 2015 at Chitwan Medical College Teaching Hospital in Nepal. The objective of this study was to study cystic ovarian masses histopathologically. A total of one hundred and fourteen patients with cystic ovarian masses were included into the study. 46.5% lesions were non-neoplastic (83% physiologic and 17% pathologic) and 53.5% lesions were neoplastic (91.8% benign and 8.2% malignant). Follicular cyst was the most common ovarian cystic lesion overall, followed by mature cystic teratoma and serous cystadenoma. 14.9% of all the ovarian cysts had undergone torsion; among them mature cystic teratoma was the most common lesion to have undergone the complication. Neoplastic ovarian cysts were more common than non-neoplastic. Follicular cyst was the most common ovarian cyst overall. Mature cystic teratoma was the ovarian cystic lesion to be affected by torsion most commonly.


2017 ◽  
Vol 6 (1) ◽  
pp. 16
Author(s):  
S Ranabhat ◽  
M Tiwari ◽  
S Maharjan ◽  
A Bhandari ◽  
M Subedi ◽  
...  

<p><span>This research was a cross sectional analytic observational histopathological study of cystic ovarian lesions carried out over three years from March, 2012 to February, 2015 at Chitwan Medical College Teaching Hospital in Nepal. The objective of this study was to study cystic ovarian masses histopathologically. A total of one hundred and fourteen patients with cystic ovarian masses were included into the study. 46.5% lesions were non-neoplastic (83% physiologic and 17% pathologic) and 53.5% lesions were neoplastic (91.8% benign and 8.2% malignant). Follicular cyst was the most common ovarian cystic lesion overall, followed by mature cystic teratoma and serous cystadenoma. 14.9% of all the ovarian cysts had undergone torsion; among them mature cystic teratoma was the most common lesion to have undergone the complication. Neoplastic ovarian cysts were more common than non-neoplastic. Follicular cyst was the most common ovarian cyst overall. Mature cystic teratoma was the ovarian cystic lesion to be affected by torsion most commonly.</span></p>


Author(s):  
Gaurav Singh ◽  
Anupriya Narain ◽  
Shashi Dhawan ◽  
Rajeev Kulshrestha

Ovarian masses are rarer in children and adolescent than adults. Simple ovarian cysts are most common non-neoplastic masses in children. We report this case to emphasize that mass abdomen in adolescents can be missed being asymptomatic. A 16-year-old girl presented intermittent pain abdomen, nausea and decreased appetite for 3 months. Her menstrual cycles were normal and regular. Tumor markers were within normal limits. Exploratory laparotomy with decompression of cyst followed by cystectomy was done. The histopathology revealed the mass to be a mucinous cystadenoma. Post op course was smooth. The patients’ age, size of the cyst and menopausal status of the patient are the important deciding factor in the plan of management. A conservative surgical procedure should be the primary aim in order to preserve patient’s fertility.


Author(s):  
Sheela S. R. ◽  
Sreeramulu P. N. ◽  
Poonguzhali L. ◽  
Arulselvi K.

Background: Ovarian masses are diagnosed in 0.5-1% pregnancies. During pregnancy ovarian cysts can undergo: resolution of the cyst, change of ultrasound pattern, occurrence of ovarian torsion and intra-cystic haemorrhage or rupture. Ovarian masses (esp torsion) is a cause of pain abdomen during pregnancy. The choice of treatment is mainly conservative, provided the patient is asymptomatic. Dilemma in management arises when the patient is symptomatic. Optimal timing for a planned surgery is the second trimester as it is shown to have least neonatal outcome. The objective of this study was to evaluate management options for ovarian cyst in pregnancy and its effect on outcome of pregnancy.Methods: This study was conducted for 2 years from June 2014 to June 2016, at RL Jalappa Hospital, Kolar. A total of 46 pregnant women were included. The pregnancy outcome and the management used were studied. Also studied were the complications most likely to occur in pregnancies complicated by ovarian masses ovarian masses.Results: Out of 46 patients, 2 (4.3%) patients with ovarian cyst torsion underwent emergency laparotomy. 8 patients underwent surgery (6 in 2nd trimester and 2 at term) for various complications. Only one patient had miscarriage and remaining patients continued till term. Histopathological report of all the masses excised were obtained and 6 were reported to be benign serous cystadenomas,1 benign mucinous cystadenoma and 3 simple cysts.Conclusions: Optimal management for ovarian cyst is conservative in pregnancy provided patient remain asymptomatic and characteristic of cyst are consistent with benign pathology. Surgical management is to be reserved for symptomatic patient.


1978 ◽  
Vol 49 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Darrell J. Harris ◽  
Victor L. Fornasier ◽  
Kenneth E. Livingston

✓ Hemangiopericytoma is a vascular neoplasm consisting of capillaries outlined by an intact basement membrane that separates the endothelial cells of the capillaries from the spindle-shaped tumor cells in the extravascular area. These neoplasms are found in soft tissues but have rarely been shown to involve the spinal canal. This is a report of three such cases. Surgical removal of the tumor from the spinal canal was technically difficult. A high risk of recurrence has been reported but in these three cases adjunctive radiotherapy appeared to be of benefit in controlling the progression of the disease. These cases, added to the six cases in the literature, confirm the existence of hemangiopericytoma involving the vertebral column with extension into the spinal canal. This entity should be included in the differential diagnosis of lesions of the spinal canal. The risk of intraoperative hemorrhage should be anticipated.


Author(s):  
Sairem Mangolnganbi Chanu ◽  
Biswajit Dey ◽  
Vandana Raphael ◽  
Subrat Panda ◽  
Yookarin Khonglah

Background: Ovarian cystic neoplasms are common in gynaecological practice. These may pose diagnostic difficulty to the pathologists. This study was conducted to analyse the clinical and histological profile of ovarian cystic neoplasms.Methods: This is a retrospective study done from January 2016 to April 2017 in a tertiary care hospital in North East India. All the patients, who were clinically and radiologically diagnosed as ovarian cysts, which had histopathological confirmation were included in the study. Data including the age, parity, clinical symptoms, laterality and histopathological findings were analysed.Results: A total of 101 patients operated for ovarian cysts in the study period were analysed. The most common clinical presentation was lower abdominal pain. There were 11 (10.9%) malignant cases, 4 (4%) were intermediate grade and borderline in nature, and 85 (84.1%) cases were benign in nature. There was 1 (1%) case of metastasis to ovary. Mature cystic teratoma was most common (20.8%) histopathological diagnosis. The second most common cyst was serous cystadenoma (19.8%).Conclusion: Ovarian cysts are commonly encountered in gynaecological practice and equally encountered by the pathologists. Most commonly found ovarian cysts were mature cystic teratoma followed by serous cystadenoma.


2020 ◽  
Vol 7 (4) ◽  
pp. 1280
Author(s):  
Alexandra O. Stathis ◽  
Samuel C. Kuo

Pancreatic cystic neoplasms (PCNs) are predominantly benign entities which represent almost 50 percent of all cystic lesions of the pancreas. PCNs are often an incidental finding on abdominal imaging and are not indicated for surgical resection unless they show evidence of malignant transformation or become symptomatic due to mass effect. This report examines an unusual presentation of a PCN, in a 70 years old female with sudden onset abdominal pain, who was found to have spontaneous intraabdominal haemorrhage secondary to a benign PCN. Emergency laparotomy was performed and a distal pancreatectomy or splenectomy were required to achieve haemostasis. Incidence of spontaneous haemorrhage in a benign PCN is a rare but serious complication.


2020 ◽  
pp. 67-69
Author(s):  
Sujata Ganguli ◽  
Keya Basu ◽  
Ranjana Bandyopadhyay

Ovarian carcinoma is the second most common carcinoma of the female reproductive system .It is the leading cause of death from gynaecological malignancy .The purpose of this study is to observe the clinicopathological spectrum of ovarian neoplasms with the expression of ER and PR in the different malignant lesions .A total of 156 cases of ovarian tumours were included in this study, and surface epithelial tumours were found to be the commonest neoplasm followed by germ cell tumours. Expression of ER and PR was found to be highest in Serous and Endometrioid tumours. PR Negative cases showed a higher grade and stage.


Author(s):  
Swati Singh ◽  
Ravinder Ahlawat

Rupture of uterus is characterized by a breach in the wall of the uterus involving its full thickness. An unscarred uterus rupture is uncommon. It has non-specific symptoms and presentation differs according to site and time of rupture. Authors report an unusual case of spontaneous rupture of unscarred uterus. A 32-year-old, pregnant woman, developed postpartum bleeding with no history of prior uterine incision. She was diagnosed as a case of rupture of uterus and emergency laparotomy was done. Early diagnosis and immediate surgical intervention may significantly improve the prognosis. Differential diagnosis of uterine rupture should always be kept in mind in all patients with or without risk factors.


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