卵巢囊腺瘤是良性上皮肿瘤,其中许多是浆液亚型。大多数患者出现腹痛等症状,腹胀,和膀胱问题。这个病人,BMI为45的人,在选择性减肥手术中发现了巨大的卵巢浆液性囊腺瘤;有趣的是,她在被发现时完全无症状。一个大的,主要为囊性盆腔肿块,伴有内隔和软组织成分,怀疑卵巢肿瘤,在CT腹部和骨盆上发现IV造影。她接受了剖腹探查术并完全切除,右卵巢切除术,卵巢囊肿切除术.她的术后病理报告显示肿块为良性浆液性囊腺瘤。这个案例可以作为一个例子,说明一个巨大的肿瘤可能会被忽视很多年,只有在无症状患者中被无意中发现。医疗保健质量通常受到许多医疗保健提供者对其肥胖患者的固有偏见的负面影响。提供者可能会错误地将患者的症状过度归因于他们的肥胖,未能有效评估患者的担忧,这可能导致忽视潜在有害的诊断。所有患者的综合病史和体格检查,尤其是那些肥胖的人,对于确保及时诊断和管理以改善患者预后至关重要。
Ovarian cystadenomas are benign epithelial neoplasms, many of which are of the serous subtype. Most patients present with symptoms such as abdominal pain, bloating, and bladder issues. This patient, who had a BMI of 45, presented with a giant ovarian serous cystadenoma identified during an elective bariatric surgery; interestingly, she was completely asymptomatic at the time of discovery. A large, predominantly cystic pelvic mass with internal septations and soft tissue components, suspicious for ovarian neoplasm, was discovered on a CT abdomen and pelvis with IV contrast. She underwent an exploratory laparotomy with complete resection, right oophorectomy, and ovarian cystectomy. Her postoperative pathology report revealed the mass to be a benign serous cystadenoma. This case serves as an example of how a massive tumor can potentially get overlooked for many years, only to be detected unintentionally in an asymptomatic patient. Healthcare quality is often negatively impacted by the inherent prejudice that many healthcare providers have toward their obese patients. Providers may mistakenly over-attribute a patient\'s symptoms to their obesity, failing to effectively evaluate the patient\'s concerns, which could lead to overlooking potentially harmful diagnoses. A comprehensive history and physical exam in all patients, especially those who are obese, is vital in ensuring timely diagnosis and management to improve patient outcomes.