EXPERIENCE OF SUCCESSFUL TACTICS IN MANAGING A PATIENT WITH SEROUS OVARIAN CYSTADENOMA AND SEVERE COMBINED EXTRAGENITAL PATHOLOGY

Abstract

The purpose of this study is to study the features of management tactics for a patient with serous ovarian cystadenoma and severe concomitant extragenital pathology. In the studied clinical case, the joint drawing up of a management plan for the patient by a cardiologist, pulmonologist, obstetrician-gynecologist, holding medical consultations, including specialists from leading medical institutions, in accordance with the nosology of the patient’s diseases, carrying out optimal surgical intervention using laparoscopic access, allowed for removal of the formation ovary, its histological examination and to prevent in a patient at risk the progression of the process and the possibility of malignancy of a benign ovarian tumor. This possibility is quite probable with the long-term existence of ovarian tumors. Verification of the histotype of an ovarian tumor is carried out first by morphological examination of the intraoperatively removed specimen, followed by final confirmation of the conclusion. In addition, even in the presence of benign ovarian tumors, complications such as possible infection, torsion or rupture of the capsule of the formation may develop. These complications can arise suddenly and require emergency surgical intervention, which is extremely difficult in a patient with severe combined extragenital pathology. In this case, there may also be no possibility of conducting an intraoperative histological examination of the removed specimen, which will lead to an inadequate amount of surgical intervention. After studying this clinical case, the following conclusions can be drawn. It is necessary to jointly manage patients with combined gynecological and extragenital pathologies to develop a personalized management plan that ensures the required volume of treatment, avoiding possible complications.