부산대학교 도서관

Background: Giant ovarian tumours are rare, mostly of them are benign but around 10% are borderline. They are usually common between third and fifth decade of life. Objective: The aim is to present the case of a giant ovarian borderline tumor in a woman weighing 50 kg. Material and methods: We report the case of a 64-year-old woman, who was admitted in the First Surgical Clinic, Emergency County Clinical Hospital of Targu Mures, between 20.06-20.06.2018 with giant right adnexal tumor with compressive phenomena, superior vena cava syndrome, left ovarian tumor, cachexia. The clinical examination revealed an abdomen eased by the presence of a pelvi-abdominal tumor with distended veins on the abdomen and in the upper chest. The radiological examination such the abdominal ultrasound wasn't useful because of the thickened tumor wall so a CT scan was performed revealing a large mass in the abdominal-pelvic cavity with the displacement of the surrounding organs. Interdisciplinary consultation (gynecology and gastroenterology) have not provided more details. Laboratory analyses show anemia and hypoalbuminemia. From the patient's personal background we found out that she had 2 natural childbirth and she suffers from ischemic heart disease and hypothyroidism. Results: After the correction of the anemia and hypoalbuminemia the patient had undergone an exploratory laparotomy, total hysterectomy with bilateral adnexectomy and the excision of a peritoneal lipogranuloma.The postoperative evolution was favorable, without surgical complications and with the discharge of the patient in the 9th postoperative day. Conclusions: Women with abdominal-pelvic masses constitute a challenging condition in general practice because the clinical and paraclinical investigations are usually nonspecific. [ABSTRACT FROM AUTHOR]