Abstract
Giant (>10 cm) ovarian cyst is a rare finding. In the literature, a few cases of giant ovarian cysts have been mentioned sporadically, especially in elderly patients. We report a 57-year-old postmenopausal woman with a giant left ovarian cyst measuring 43 × 15 × 9 cm. She was referred to us from the local health center in view of palpable pelvic mass for six-month period. Considering the age and menopausal state, we performed a total abdominal hysterectomy and bilateral salpingo-oophorectomy with excision of the giant left ovarian cyst intact and successfully without any significant complication. On histopathological examination, the cyst was confirmed as benign serous cystadenoma of the ovary. During the management of these high-risk cases of multidisciplinary approach, intraoperative and postoperative strict vigilance is necessary to avoid unwanted complications.
Highlights
Giant ovarian tumor has become rare, because of the early detection of adnexal pathology with the advent of routine imaging modalities in the recent era of medical practice [1, 2].In previous studies, the definition of large or giant ovarian cysts was described as cysts measuring more than 10 cm in diameter in the radiological scan or those cysts reaching above the umbilicus [1].Cystadenoma, adenofibroma, and surface papillomas are the benign serous tumors
The definition of large or giant ovarian cysts was described as cysts measuring more than 10 cm in diameter in the radiological scan or those cysts reaching above the umbilicus [1]
These tumors occur in about 25% of all benign ovarian neoplasms and 58% of all ovarian serous tumors [2]
Summary
Giant ovarian tumor has become rare, because of the early detection of adnexal pathology with the advent of routine imaging modalities in the recent era of medical practice [1, 2]. Serous tumors are commonly seen during the reproductive period and 50% of them occur before the age of 40 years Most of these cysts are benign in nature with the chance of malignancy being only 7%–13% in premenopausal and 8%–45% in postmenopausal women [3, 4]. We report a 57-year-old postmenopausal woman with a giant left ovarian cyst (43 × 15 × 9 cm). A 57-year-old, para 04 postmenopausal woman was referred to our hospital from the local health center with a palpable pelvic mass for the last six months She had been menopausal for the 7 years with the last childbirth occurring 17 years ago. The histopathology was suggestive of benign serous cystadenoma of the ovary She was discharged on the fourth postoperative day in good condition
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