PDF(Pubmed)
Abstract：
Giant mucinous cystadenocarcinoma of the ovary is rarely described. Huge ovarian masses are mostly benign, but malignancy should be ruled out by investigations and clinical assessment. Here, we present a case of a large mucinous cystadenocarcinoma of the ovary in a 48-year-old postmenopausal woman. Imaging examinations revealed a large cystic tumor that filled the whole abdominal cavity. Despite the difficulties presented by the size of the tumor and its malignant potential, laparotomy was carried out, which included bilateral salpingo-oophorectomy, total abdominal hysterectomy, exploration of other intra-abdominal organs, and pelvic lymphadenectomy. Histopathology indicated the presence of mucinous cystadenocarcinomas. Adjuvant chemotherapy was given post-operatively, and the patient maintained remission during follow-up. This case emphasizes the need for early detection by simple imaging modalities such as ultrasonography in cases of ovarian masses. Most adnexal masses, if detected early, are amenable to surgical management with a good prognosis. Large masses underline the need for a multidisciplinary approach to improve patient outcomes.
摘要：
很少描述卵巢的巨大粘液性囊腺癌。巨大的卵巢肿块大多是良性的，但恶性肿瘤应通过调查和临床评估排除。这里,我们介绍一例48岁绝经后女性卵巢大粘液性囊腺癌。影像学检查显示，一个大的囊性肿瘤充满了整个腹腔。尽管肿瘤的大小及其恶性潜力带来了困难，进行了剖腹手术，其中包括双侧输卵管卵巢切除术，经腹全子宫切除术,探索其他腹内器官，盆腔淋巴结清扫术.组织病理学提示存在粘液性囊腺癌。术后给予辅助化疗，患者在随访期间维持缓解。这种情况强调需要通过简单的成像方式进行早期检测，例如在卵巢肿块的情况下进行超声检查。大多数附件肿块，如果早期发现，适合手术治疗，预后良好。大量患者强调需要采用多学科方法来改善患者预后。
