scholarly journals Giant mucinous cystadenoma of ovary in an adolescent girl: a case report

2020 ◽  
Vol 10 (1) ◽  
pp. 404
Author(s):  
Gaurav Singh ◽  
Anupriya Narain ◽  
Shashi Dhawan ◽  
Rajeev Kulshrestha
Keyword(s):  
Adolescent Girl ◽  
Menopausal Status ◽  
Mucinous Cystadenoma ◽  
Exploratory Laparotomy ◽  
Ovarian Cysts ◽  
Menstrual Cycles ◽  
Children And Adolescent ◽  
Normal Limits ◽  
Pain Abdomen ◽  
Ovarian Masses

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.

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

2017 ◽  
Vol 6 (3) ◽  
pp. 1151
Author(s):  
Shweta Avinash Khade ◽  
Sneha Shirodkar
Keyword(s):  
Differential Diagnosis ◽  
Adolescent Girl ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Emergency Laparotomy ◽  
Surgical Removal ◽  
Germ Cell Tumours ◽  
Serous Cystadenomas ◽  
Epithelial Tumours ◽  
Ovarian Masses

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.

scholarly journals Obstetric outcome in pregnancy complicated by ovarian cysts

2017 ◽  
Vol 6 (11) ◽  
pp. 5051
Author(s):  
Sheela S. R. ◽  
Sreeramulu P. N. ◽  
Poonguzhali L. ◽  
Arulselvi K.
Keyword(s):  
Ovarian Cyst ◽  
Mucinous Cystadenoma ◽  
Symptomatic Patient ◽  
Ovarian Cysts ◽  
Optimal Timing ◽  
Emergency Laparotomy ◽  
Management Options ◽  
The Masses ◽  
Ovarian Masses ◽  
In Pregnancy

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.

scholarly journals Primary Papillary Serous Carcinoma of the Peritoneum

2014 ◽  
Vol 8 (2) ◽  
pp. 60-62
Author(s):  
NM Jayakumar ◽  
PS Sangam ◽  
VU Grampurohit ◽  
AF Myagery
Keyword(s):  
Exploratory Laparotomy ◽  
Serous Carcinoma ◽  
Ovarian Malignancy ◽  
Simple Cyst ◽  
Rare Type ◽  
Moderate Amount ◽  
Obstetrics And Gynaecology ◽  
Pain Abdomen ◽  
Eosinophilic Cytoplasm ◽  
Papillary Serous Carcinoma

Primary papillary serous carcinoma of peritoneum (PPSCP) is a rare type of primary peritoneal adenocarcinoma and is clinico-histopathologically indistinguishable from primary ovarian papillary serous carcinoma. A 70 -year- female presented with pain abdomen of 4 months duration. On examination partially mobile vague mass was present in the suprapubic region. Exploratory laparotomy revealed normal right ovary and the left ovary showed simple cyst. Nodular, firm tumour was seen arising from omentum and measured 20x13x9.3 cm. Microscopically tumour was composed of large sheets of polygonal cells having large hyperchromatic and pleomorphic nuclei and moderate amount of eosinophilic cytoplasm forming cribriform pattern and papillae. It has similar prognosis as that of ovarian malignancy. This case of extraovarian papillary serous carcinoma of peritoneum (EPSCP) is presented here for its rarity.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 60-62 DOI: http://dx.doi.org/10.3126/njog.v8i2.9774

scholarly journals Diagnostic value of risk malignancy index (RMI) for detection of malignancies in clinically diagnosed ovarian masses and to evaluate the validity of individual constituent parameter of risk malignancy index

2019 ◽  
Vol 8 (4) ◽  
pp. 1558
Author(s):  
Jenitha B. ◽  
Subbiah M.
Keyword(s):  
Malignant Tumors ◽  
Menopausal Status ◽  
Research Centre ◽  
Ca 125 ◽  
Ovarian Mass ◽  
Individual Parameter ◽  
Ca125 Level ◽  
Serum Ca125 ◽  
Serum Ca125 Level ◽  
Ovarian Masses

Background: Pre-operative knowledge regarding the nature of ovarian mass is necessary in order to plan surgery. Risk malignancy index (RMI) is a simple scoring system based on three factors serum CA 125, USG score and menopausal status. The RMI was interpreted as 1) score >250=high risk, 2) 25-250=intermediate risk, 3) score <25=low risk. The objective of the study was to evaluate risk malignancy index (RMI) in pre-operatively clinically diagnosed ovarian mass and to compare the validity of individual parameter in RMI i.e. menopausal status, serum CA 125 and USG score to differentiate the nature of clinically diagnosed ovarian masses as benign or malignant.Methods: This was an observational study conducted in the Department of obstetrics and gynaecology, Trichy SRM Medical College and Research Centre, Trichy from January 2017 to January 2018 with a sample size of 77 cases with clinical diagnosis of ovarian mass admitted for surgery. The validity of RMI and validity of individual parameters were calculated and compared.Results: A total of 77 patients with ovarian tumors were enrolled in this study. According to the histological examination of the surgical specimens of the 77 women, 27.3% (n=21) had malignant tumors and 67.7% (n=56) had benign disease. Most common benign tumour was serous cystadenoma and the most common malignant tumour was mucinous cystadenocarcinoma. Among 77 patients, 42.85% (n=33) were postmenopausal, 44.15% (n=34) had USG score of 4, 27.27% (n=21) had serum CA125 level >cut-off values and 27.27% (n=21) had RMI >250. In cases where RMI>250, 18 out of 21 were malignant. In cases where USG score was 4, 19 out of 34 were malignant. Of the cases where serum CA125 level was > cut-off values 16 out of 21 were found to be malignant. RMI showed better sensitivity of 85.71%, specificity of 94.64%, PPV of 85.71%, NPV of 94.64% and diagnostic accuracy of 92.20%.Conclusions: RMI is highly valuable and reliable in differentiating benign and malignant ovarian lesions and facilitates selection of cases for conservative management and oncology referral.

scholarly journals A clinico-histopathological review of ovarian masses at a tertiary care centre

2018 ◽  
Vol 7 (10) ◽  
pp. 4139
Author(s):  
Michelle N. Fonseca ◽  
Madhavi J.
Keyword(s):  
Tertiary Care ◽  
Young Patients ◽  
Mucinous Cystadenoma ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Benign Ovarian Tumours ◽  
Ovarian Tumours ◽  
Ovarian Masses

Background: Ovarian tumours can be seen at all stages of life but they differ in type, being mostly germ cell tumours in childhood, functional cysts in the reproductive age group (up to 45 years) and becoming increasingly malignant towards and after menopause. It also accounts for most prevalent cause of hospital admissions.Methods: This is a retrospective study conducted in the Department of Obstetrics and Gynaecology at a tertiary care hospital in Mumbai from August 2017 to August 2018. All patients with ovarian masses who were surgically managed were included in the study. The data of 30 patients was collected in excel sheet and analyzed by descriptive statistics.Results: Out of the 30 ovarian masses, 50 % were functional cysts, 46.6% were benign ovarian masses and 3.3% were borderline malignant. 46% of tumours were seen in the age group 21-30 years. More than 50 % tumours were seen in parous women. Most common presenting clinical symptom was pain in abdomen irrespective of the type of tumour. Most common complication was haemorrhage in the cyst. Laparoscopy was done in 4 patients and 26 required exploratory laparotomy. Most common surgery performed was unilateral cystectomy for functional ovarian cysts and benign ovarian tumours. Mucinous cystadenoma was the most common benign ovarian tumour, followed by dermoid cyst.Conclusions: Pre-operative diagnostic approach to a patient with ovarian mass includes careful history taking, thorough clinical examination, ultrasound and tumour marker assays in selected cases. Conservative surgery should be the goal to preserve fertility in young patients with ovarian tumours.

Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?

2006 ◽  
Vol 16 (6) ◽  
pp. 2039-2043 ◽  
Author(s):  
J. Einenkel ◽  
H. Alexander ◽  
D. Schotte ◽  
P. Stumpp ◽  
L.-C. Horn
Keyword(s):  
Critical Evaluation ◽  
Mucinous Cystadenoma ◽  
Malignant Potential ◽  
Ovarian Cysts ◽  
The Past ◽  
Considerable Debate ◽  
Low Malignant Potential ◽  
Definitive Surgery

There has been a considerable debate over the merits of a pre- or intraoperative drainage of giant ovarian cysts, which represented a very frequent approach before definitive surgery in the past. Including our presented case of a 57-year-old woman with a 49 kg mucinous cystadenoma, 19 patients with giant ovarian cysts weighing more than 40 kg were reported in the literature since 1970. An incidence of 37% of malignant and low malignant potential tumors was found. Based on a critical evaluation of the medical courses and the discussed miscellaneous advantages and complications, we conclude that a pre- and intraoperative drainage should be avoided.

scholarly journals Primary Pleomorphic Liposarcoma of Liver: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
P. R. Thippeswamy Naik ◽  
Prem Kumar ◽  
P. Vinod Kumar
Keyword(s):  
Weight Loss ◽  
Male Patient ◽  
Clinical Course ◽  
Exploratory Laparotomy ◽  
Left Lobe ◽  
Review Of The Literature ◽  
Primary Malignancy ◽  
Pleomorphic Liposarcoma ◽  
Pain Abdomen ◽  
Adult Male Patient

Primary liver liposarcoma is a rare disease. The knowledge of the clinical course, management, and prognosis of primary liver liposarcoma are all limited because of its rarity. Twelve cases of primary liposarcoma of the liver have been previously reported. We present the thirteenth case, which occurred in an adult male patient. A 42-year-old male patient came to our outpatient department with complaints of pain abdomen, mass per abdomen, and weight loss. Ultrasonography showed a mass arising from the the left lobe of liver. CT abdomen showed a heterogenous enhancing mass from left lobe of liver with multiple cystic and necrotic areas compressing the stomach and spleen with no evidence of metastasis. Differential diagnosis included adenoma and primary malignancy. Exploratory laparotomy and resection were done. HPE was found to be pleomorphic liposarcoma of liver.

Diagnostic performance of transvaginal gray-scale ultrasound for specific diagnosis of benign ovarian cysts in relation to menopausal status

Maturitas ◽  
2011 ◽  
Vol 68 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Juan Luis Alcázar ◽  
Stefano Guerriero ◽  
Carmen Laparte ◽  
Silvia Ajossa ◽  
Álvaro Ruiz-Zambrana ◽  
...  
Keyword(s):  
Diagnostic Performance ◽  
Menopausal Status ◽  
Ovarian Cysts ◽  
Gray Scale ◽  
Specific Diagnosis

scholarly journals A Rare Case of Imperforate Hymen Presenting with Perineal Pain

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Zacharis K ◽  
◽  
Klimatsouda M ◽  
Donoudis C ◽  
Valasoulis G ◽  
...  
Keyword(s):  
Adolescent Girl ◽  
Reproductive Tract ◽  
Lower Abdominal Pain ◽  
Female Reproductive Tract ◽  
Perineal Pain ◽  
Effective Management ◽  
Imperforate Hymen ◽  
Menstrual Cycles ◽  
Delayed Treatment

Introduction: Imperforate hymen is a rare local fusion anomaly of the female reproductive tract and diagnosis can be easily missed. Cyclic lower abdominal pain and amenorrhea are common symptoms in cases left untreated after menarche. Perineal pain may be an unusual presenting symptom of imperforate hymen. In order to avert complications related to delayed treatment, hymenotomy is considered effective management. Case Report: We herein describe a case of a 13-year-old adolescent girl with an imperforate hymen presenting with lower abdominal and perineal pain. The girl underwent and hymenotomy and postoperative period was uneventful. Perineal and pelvic pain relieved instantly after surgical treatment and during follow up her menstrual cycles were regular.

scholarly journals A case report of successful retrieval of missing Cu T from peritoneal cavity in a case of pelvic Tuberculosis

2017 ◽  
Vol 6 (11) ◽  
pp. 5152
Author(s):  
Bratati Moitra ◽  
Megha Bhagat
Keyword(s):  
Case Report ◽  
Peritoneal Cavity ◽  
Severe Pain ◽  
Exploratory Laparotomy ◽  
Rectosigmoid Colon ◽  
Pain Abdomen ◽  
Successful Retrieval

The incidence of missing IUCD is 0.5-2%. Usually the cause is either expulsion or perforation of uterus. Sometimes the perforated IUCD remains asymptomatic for years and found incidentally later. We are hereby presenting a case of 35 years female P3 L3 who had Cu T insertion 3 years back. She was asymptomatic for more than 2 and ½ years and then presented with severe pain abdomen for which she was evaluated and exploratory laparotomy was done and Cu T was found embedded in the serosa of rectosigmoid colon which was covered by dense omental adhesions

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