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Case Reports
. 2020 Jul;19(2):108-110.
doi: 10.5114/pm.2020.97870. Epub 2020 Jul 13.

A giant ovarian mass in a 68-year-old female with persistent abdominal pain and elevated serum CA-125 level

Francesk Mulita  1 , Panagiotis Tavlas  1 , Ioannis Maroulis  1
Affiliations
Case Reports

A giant ovarian mass in a 68-year-old female with persistent abdominal pain and elevated serum CA-125 level

Francesk Mulita et al. Prz Menopauzalny. 2020 Jul.

Abstract

Introduction: Ovarian masses are common findings in general gynecology. However giant ovarian mass is a rare finding. In the literature, a few cases of giant ovarian mass have been mentioned sporadically, especially in elderly patients.

Case report: We report a 68-year-old postmenopausal woman with a giant right ovarian mass measuring 38 × 31 × 29 cm. She presented to our department with complaints of massive abdominal distention which started gradually 6 months ago. The patient also complained of difficulty in breathing and ambulation. There were no other gastrointestinal, urinary, or gynecological symptoms CA-125 marker was slightly elevated. Because of elevation of serum CA-125 levels, ovarian malignancy was included in differential diagnosis. We performed an ovarian cystectomy without any significant complication. On histopathological examination, the mass was confirmed as benign serous cystadenoma of the right ovary.

Conclusions: Giant ovarian mass is a rare finding in general gynecology. Physicians must maintain heightened awareness and index of suspicion when approaching a woman with pain in any region of the abdomen or pelvis. Further investigation with abdominal and pelvic ultrasonography and magnetic resonance imaging or computed tomography is necessary. Benign lesions can be found even in patients presenting with giant masses and higher CA-125 than normal levels.

Keywords: CA-125; cystadenoma; mass; ovarian; serous.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Abdominal and pelvic MRI revealed a giant mass arising from the right ovary
Fig. 2
Fig. 2
Completely resection of the ovarian mass that weighed 9 kg and measured 38 × 31 × 29 cm
See this image and copyright information in PMC

References

    1. Agah J, Jafarzadeh Esfehani R, Kamalimanesh B, et al. . Mismanagement of a Huge Ovarian Serous Cystadenoma in a Young Girl; a Case Report. J Midwifery Reproductive Health 2015; 3: 315-317.
    1. Limaiem F, Mlika M. Ovarian Cystadenoma. [Updated 2019 Nov 24]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL) 2020.
    1. Ciftci I, Sekmenli T, Ugras S. Ovarian Huge Serous Cystadenoma in Adolescent Girl: A Case Report. Natl J Med Res 2013; 3: 187-189.
    1. Mülayim B, Gürakan H, Dagli V, et al. . Unaware of a giant serous cyst adenoma: a case report. Arch Gynecol Obstet 2006; 273: 381-383. - PubMed
    1. Seidman JD, Mehrotra A. Benign ovarian serous tumors: a re-evaluation and proposed reclassification of serous. “cystadenomas” and “cystadenofibromas”. Gynecol Oncol 2005; 96: 395-401. - PubMed

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