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Ovarian Cystadenoma


Presentation

  • We report a 30-year-old woman with periampullary cancer and a large left ovarian cystadenoma presenting during pregnancy with features of duodenal obstruction. She had a right benign ovarian tumor removed a year back.[ncbi.nlm.nih.gov]
  • Case Presentation 56-year-old patient presented with a swelling in the lower abdomen. Imaging studies showed a right ovarian mass with solid and cystic component. Suspecting a malignant ovarian neoplasm, a laparotomy and pan hysterectomy was done.[hindawi.com]
  • Presentation A young woman presents with dull, chronic pain in the lower abdomen. An ultrasound was performed. Caption: Sagittal view of right adnexa Description: A large complex cystic mass is seen in the right adnexa.[sonoworld.com]
  • Abdominal pain presented in cases with torsion, but many of the remaining cases only displayed abdominal distension, as in our case. Many patients presented with large tumors, with some as much as 6 - 7 kg.[file.scirp.org]
Euthyroid
  • Patient was euthyroid and was not on any medications. On General examination her vitals were stable. Systemic examination showed no abnormality in respiratory and cardiovascular system.[medcraveonline.com]
Epigastric Tenderness
  • In physical examination, there were no positive findings, except epigastric pain with diffuse abdominal distension and moderate epigastric tenderness without guarding. No well-defined mass was detected on palpation.[jmrh.mums.ac.ir]
Orthostatic Hypotension
  • Five potential problems have been associated with the resection of massive ovarian tumours: respiratory failure, intraoperative fluids shifts, adequate exposure, orthostatic hypotension and adynamic intestine.[gynecolsurg.springeropen.com]
Social Isolation
  • She delayed seeking medical advice because of social isolation resulting from family problems. The patient weighed 122 kg for a height of 165 cm and showed signs of hirsutism.[gynecolsurg.springeropen.com]
Neglect
  • Since these issues are generally attributed to regular problems of pregnancy, it may be neglected by either the patient or physician.[jmrh.mums.ac.ir]
  • These huge neglected cysts can mimic other medical conditions on physical examination, like pregnancy, massive ascites, colonic volvulus and idiopathic megacolon [ 5 ], and they can give rise to various clinical complications resulting from local compression[gynecolsurg.springeropen.com]
  • These huge neglected masses can mimic other medical conditions on clinical examination, such as pregnancy, massive ascites and colonic volvulus. [12] Surgical management is the usual way to manage these patients.[cancerjournal.net]
Foot Drop
  • drop secondary to a large ovarian cyst. 38 Ahmad M...Thomson S 24447226 2014 20 Bilateral ovarian cystadenoma in a geriatric African elephant (Loxodonta africana). 38 Hoby S...Schumacher VL 25000708 2014 21 Perioperative management for the removal of[malacards.org]
Adnexal Mass
  • Adnexal masses are usually asymptomatic and incidentally detected. Before extensive use of ultrasound, they are usually discovered during C-section or when they become symptomatic(3). The majority of adnexal masses originate from the ovaries.[jmrh.mums.ac.ir]
  • Adnexal masses constitute a challenge especially in resource-limited countries like our own where poor access to health care and noncompliance are usually anticipated.[academic.oup.com]
  • Ultrasound typically large cystic adnexal mass multilocular with numerous thin septations loculations may contain low-level internal echogenicity due to increased mucin content different locules may contain various degrees of echogenicity MRI Mucinous[radiopaedia.org]
  • Ultrasonography: The initial imaging study recommended in the evaluation of adnexal masses is the pelvic US.[ncbi.nlm.nih.gov]
Pelvic Pain
  • The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort .[books.google.es]
  • There was no history of menstrual abnormality, pelvic pain, or urinary frequency. She had had poliomyelitis approximately 18 years earlier and still used crutches for walking.[nejm.org]
  • This may be intermittent, or can be severe, sudden, and sharp Irregular menstrual periods A feeling of lower abdominal or pelvic pressure or fullness Chronic pelvic pain or low back pain throughout the menstrual cycle Pelvic pain following exercise or[emedicinehealth.com]
  • pain Bloating Discomfort Evaluation Serum CA-125 assay: Serum CA-125 assay is a useful tool that helps to distinguish between benign and malignant ovarian masses.[ncbi.nlm.nih.gov]

Workup

  • The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort .[books.google.es]
  • (See Presentation, DDx, and Workup.)[emedicine.medscape.com]
  • A full sepsis workup in infants younger than 12 weeks with fever and associated acute otitis media is often necessary. Laboratory studies may be needed to confirm or exclude possible related systemic or congenital diseases.[ncbi.nlm.nih.gov]
Ovarian Mass
  • Discussion Giant ovarian masses are extremely rare.[cancerjournal.net]
  • Ovarian mass was explored out, pedicles traced and dissection of ureter done, pedicles clamped and ovarian mass was excised and sent for frozen section which reported as mucinous cystadenoma of ovary.[medcraveonline.com]
  • The majority of ovarian masses are cystic, and many of them are functional which may spontaneously resolve (2).[jmrh.mums.ac.ir]
  • Surgical management of the incidentally identified ovarian mass. Seminars in Pediatr Surg 2005;14:106-10.[jpss.eu]
Ischemic Changes
  • changes and of future malignancy are low. 7 , 8 According to a study by Papic et al, 9 predictors for ovarian malignancy in children include tumor size 10 cm (although some use 7.5 cm and 8 cm as a cutoff), tumor with primarily solid components, and[pediatrics.aappublications.org]

Treatment

  • , guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals.[medtube.net]
  • In fact, earlier diagnosis is associated with less invasive treatment approaches and prevention of tissue destruction.[jmrh.mums.ac.ir]
  • After treatment of the patient’s STDs, and after a brief period during which she was lost to follow-up due to estrangement from her mother and homelessness, the patient was relocated.[pediatrics.aappublications.org]
  • This updated second edition includes exciting new advances in ovarian cancer detection and treatment and provides an analysis of current research into aspects of malignant transformation, growth control, and metastasis.[books.google.com]
  • Prompt and accurate treatment is essential as these tumors can grow to massive sizes and be potentially lethal if left untreated.[academic.oup.com]

Prognosis

  • Treatment and prognosis A mucinous cystadenoma is benign with excellent prognosis (c.f. borderline mucinous tumors of the ovary or mucinous cystadenocarcinoma of the ovary).[radiopaedia.org]
  • Clear cell cystadenoma: Clear cell cystadenoma is a benign cyst with an excellent prognosis. Complications Cystadenomas of the ovary are benign lesions that rarely recur after incomplete resection.[ncbi.nlm.nih.gov]

Etiology

  • We describe a new laminopathy with ovarian cystadenoma and explore its molecular etiology. The case is a 15-year-old girl who presents the prominent progeroid disorders, multiple system degeneration and early-onset cystadenoma of the ovary.[ncbi.nlm.nih.gov]
  • Etiology Thought to largely derive from ovarian epithelial inclusions, which itself is derived from fallopian tube epithelium. Location They can be bilateral in 15% of cases.[radiopaedia.org]
  • Diagnostic laparoscopy can be used in masses of uncertain etiology, as well. Surgery is the treatment of choice for serous cystadenomas. Unilateral salpingo-oophorectomy is commonly considered in huge tumors (7).[jmrh.mums.ac.ir]

Epidemiology

  • Microscopical images[edit] Epidemiology[edit] Ovarian serous cystadenoma accounts for the largest proportion of benign ovarian tumours, making up over 50-80% of all malignant epithelial ovarian tumours.[en.wikipedia.org]
  • Seromucinous cystadenoma: According to some authors, seromucinous cystadenomas likely derive from endometriosis.[5] Epidemiology Serous cystadenoma: Benign serous tumors of the ovary represent 16% of all ovarian epithelial neoplasms and account for two-thirds[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiological events such as morphologic alterations, cell senescence, cell proliferation, apoptosis and pRb as well as p53 protein expressions were also investigated in primary fibroblasts.[ncbi.nlm.nih.gov]
  • Pharmacotherapy: A pathophysiologic approach 2361-2375. GorgoneS, MinnitiC, IlaquaA, BarbusciaM (2008) Giant mucinous cystadenoma in a young patient. A Case Report g Chir 29: 42-44.[omicsonline.org]
  • Pathophysiology Functional cysts The median menstrual cycle lasts 28 days, beginning with the first day of menstrual bleeding and ending just before the subsequent menstrual period.[emedicine.medscape.com]

Prevention

  • Conclusion: Proper diagnosis of masses during pregnancy can save maternal and fetal health through preventing adverse outcomes, such as abortion or preterm labor.[jmrh.mums.ac.ir]
  • Early diagnosis and prompt surgery may prevent irreversible adnexal damage by untwisting the vascular pedicle and removing an associated cyst or tumor, if present [15,16].[jpss.eu]
  • Prevention of fluid spillage was then taken into consideration. The tumor was found to originate from the left ovary, independent of surrounding organs and with no adhesion to the small intestine or colon.[file.scirp.org]
  • Hence, there are no known methods to prevent the tumor occurrence. Early diagnosis with close monitoring and treatment of the tumor is important. A timely tumor recognition and prompt treatment will help in having optimal ...[najdi.si]

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