Big mass: is it a big issue?

Myat San Yi,Mi Mi Khaing,Soe Lwin

doi:10.18314/cogo.v1i1.158

Abstract

Women present with a big mass will feel worried and uncertain about herself as there is a possibility of cancer. Most of the big masses are originated from the uterus or ovarian origin and it is vital for the patient to find out the most possible diagnosis. With the improvement of modern technology, the ultrasound plays an important role to get the diagnosis, however, it has some limitations like difficulty to visualize the whole mass. Other investigations like CT and especially, MRI will help to reach the appropriate diagnosis and as a result, aid in making an efficient plan for the respective diagnosis with least morbidity. It is a great challenge for the clinician but those who have adequate knowledge, competency in surgical skill with well-learnt experience will not consider it as a big deal.

Highlights

Women present with a big mass will feel worried and uncertain about herself as there is a possibility of cancer
The wonderfulness of being a clinician is that you will have to deal with living subjects in resolving their sufferings from illnesses
If in the case which presented with big mass, it may require removal procedures which are followed by further treatments which will be portrayed as a challenge in terms of the clinician skills

Summary

Retroperitoneal Tumour

The following is the algorithm to consider the steps for the diagnosis of big mass (Figure 1). Abdominal examination: Big size, Nature, Contour, Lower border, Consistency, Mobility, Ascites. USS Look for malignant features depending on their size, number, position and the type of degeneration. Most of the big masses are assumed to be arisen from the ovary and generally considered as malignant or cancerous, only 20% of all ovarian neoplasms are pathologically malignant [5]. Uterine fibroids or myomas are the commonest uterine tumour around the world. Their size can vary from the imperceptible on ultrasound to lesions that fill the abdominal cavity. Size does not necessarily correlate with symptoms, the largest often being silent [3]

Fibroids produce a variety of ultrasound appearances

Findings

US remains the primary imaging modality in ovarian