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Case Reports

Open Access

Large para-ovarian borderline papillary serous cystic tumor causing dyspnea

  • H. Torky1,*,
  • A.A. Elelaa2

1Department of Obstetrics & Gynecology - 6th October University, Cairo, Egypt

2Department of Urology - Cairo University, Cairo, Egypt

DOI: 10.12892/ejgo3756.2018 Vol.39,Issue 3,June 2018 pp.483-484

Published: 10 June 2018

*Corresponding Author(s): H. Torky E-mail: haithamtorky@yahoo.com

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Abstract

Introduction: Paraovarian cysts develop inside the broad ligament and some may reach a large size with possible complications. Case: An 18-year-old woman presented with a two-month period of rapid abdominal distension, dyspnea, and dysuria. Examination revealed a large fluid filled mass reaching the xiphi-sternum. CT scan revealed an adnexal cyst measuring 22×21×9.5 cm compressing the urinary bladder and approaching the diaphragm. Surgery was done through a mid-line incision, delivering part of the cyst and closed evacuation of some of the fluid to decrease its size before complete exteriorization for fear of spillage of a possible malignancy followed by its excision. No ascites or palpable lymph nodes were detected. Histopathology result showed papillary serous cystic tumor with onecm focal border-line changes. No recurrence was detected after one year follow-up. Conclusion: Open surgery is the best option to treat large cysts. Closed system aspiration of the cyst is safe and effective before its excision.

Keywords

Large paraovarian cyst; Borderline tumor; Dyspnea.

Cite and Share

H. Torky,A.A. Elelaa. Large para-ovarian borderline papillary serous cystic tumor causing dyspnea. European Journal of Gynaecological Oncology. 2018. 39(3);483-484.

URL:

https://www.ejgo.net/articles/10.12892/ejgo3756.2018

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