Case Series


Giant serous cystadenomas encountered in clinical practice: A case series

1 Obstetrics & Gynecology Department, Honor Health System, 19829 N 27th Ave, Phoenix, AZ 85027, USA

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Alexander Sabre

Obstetrics & Gynecology Department, Honor Health System, 19829 N 27th Ave, Phoenix, AZ 85027,

USA

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Article ID: 100039G06AS2024

doi: 10.5348/100039G06AS2024CS

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How to cite this article

Sabre A. Giant serous cystadenomas encountered in clinical practice: A case series. Edorium J Gynecol Obstet 2024;9(2):10–14.

ABSTRACT


Benign serous cystadenomas represent 16% of all ovarian epithelial neoplasms, and account for up to two-thirds of epithelial tumors of the ovary. They are commonly encountered after the 3rd decade of life and in the later decades, due to the slow growth nature over lifetime.
These tumors may begin as small unilocular subcentimeter lesions, but may expand to fill the entire abdominal cavity. This may present with mass effect to surrounding tissues and organs, and lead to sequela of compartment syndrome of the peritoneal cavity.
We present a case series of surgical evaluation and management of extremely enlarged serous cystadenomas of the ovary (>30 cm) encountered in an atypical age presentation, with the first case involving a 19 year old who had a known 6 cm cyst four years prior, who presented to emergency room (ER) with gastrointestinal (GI) symptoms secondary to the tumors mass effect, imaging demonstrating a massive tumor, subsequently requiring surgical dissection. The second case demonstrates a 25 year old with known cyst (>20 cm) two years prior who presented with even larger effect (close to 40 cm size) and worsening symptoms due to the tumors mass effect requiring removal. In both cases, patients presented to emergency room with acute symptoms, exploratory laparotomy was required for complete evacuation of lesion and for resolution of symptoms.

Keywords: Computed tomography, Gastrointestinal, Giant ovarian tumors, Ovarian epithelial neoplasms

SUPPORTING INFORMATION


Author Contributions

Alexander Sabre - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Author declares no conflict of interest.

Copyright

© 2024 Alexander Sabre. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.