Cistoadenoma mucinoso gigante de ovario

Juan Daniel González Machado, Fernando Karel Fonseca Sosa
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Abstract

Although ovarian mucinous cystadenoma has a benign growth, it can grow to be very large. We present the case of a 70-year-old patient who came to the clinic for recurrent and diffuse abdominal pain. On physical examination, a large mass was palpated that occupied the entire abdominal cavity, up to the xiphoid appendix, rounded, retentive, with defined edges, non- painful, non-movable. Presence of edema in lower limbs. During the surgical act, a myomatous uterus and a giant left ovarian cyst measuring approximately 40 x3 0 cm and weighing 13.6 kg were identified. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The biopsy confirmed the diagnosis of benign ovarian mucinous cystadenoma and uterine leiomyomatosis. The postoperative period progressed favorably. The incidence of giant ovarian cystadenoma is relatively unknown due to the lack of a standardized concept and currently available advanced imaging modalities. Keywords: Ovary, Ovarian cysts, Mucinous cystadenoma, Ovarian neoplasms.
卵巢巨型粘液性囊腺瘤
卵巢粘液性囊腺瘤虽然是良性肿瘤,但可以长得很大。本病例是一名 70 岁的患者,因反复发作的弥漫性腹痛前来就诊。体格检查时,扪及一巨大肿块,占据整个腹腔,直至剑突阑尾,圆形,有凹陷,边缘清晰,不痛,不可移动。下肢出现水肿。在手术过程中,发现了一个肌瘤子宫和一个巨大的左侧卵巢囊肿,大小约为 40 x 3 0 厘米,重 13.6 千克。患者接受了全腹子宫切除术和双侧输卵管卵巢切除术。活组织检查确诊为良性卵巢粘液性囊腺瘤和子宫肌瘤病。术后进展顺利。由于缺乏标准化的概念和目前可用的先进成像模式,巨大卵巢囊肿的发病率相对未知。关键词卵巢 卵巢囊肿 粘液性囊腺瘤 卵巢肿瘤
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