Laparoscopic management of a giant mucinous benign ovarian mass weighing 10150 grams:A case report

作     者：Elisabetta Sanna Clelia Madeddu Luca Melis Sonia Nemolato Antonio Macciò 

作者机构：Department of Gynecologic OncologyAzienda Ospedaliera BrotzuCagliari 09100Italy Department of Medical Sciences and Public HealthUniversity of CagliariMonserrato 09042Italy Department of Nuclear MedicineAzienda Ospedaliera BrotzuCagiari 09100Italy Department of PathologyAzienda Ospedaliera BrotzuCagliari 09100Italy 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第16期

页      面：3527-3533页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Giant ovarian cyst Minimally-invasive surgery Laparoscopy Benign ovarian mass Spillage Case report 

摘      要：BACKGROUND Giant ovarian cysts(≥15 cm in diameter)are *** size limit of cysts and the methodology for a safe and successful minimally invasive surgery has not been *** we report a case of a large 10-kg multi-locular ovarian mass,which was successfully laparoscopically removed:Our aim was to innovate the surgical practice in this field by providing a safe,effective,and minimally invasive management method for such complex and rare *** SUMMARY A 49-year-old nulliparous woman presented with abdominal distension,lasting from six Mo prior to admission;she reported worsening abdominal pain,abdominal swelling,and mild *** showed a presumed benign multi-locular(10 locules)left ovarian cyst that measured about 30 cm in *** on the IOTA-ADNEX model the mass had a 27.5%risk of being a borderline or malignant *** patient was successfully treated via a direct laparoscopic approach with salpingo-oophorectomy,followed by the external drainage of the *** spillage was successfully avoided during this *** final volume of the drained mucinous content was 8950 L;the cyst wall,extracted through the minilaparotomy,weighed about 1200 *** pathologic gross examination revealed a 24 cm×15 cm×10 cm mass;the histologic examination diagnosed a mucinous *** our knowledge,this is the first case of a giant multi-locular ovarian cyst treated with a direct laparoscopy with salpingo-oophorectomy followed by external *** Choosing the appropriate technique and surgeon skill are necessary for a safe and effective minimally-invasive approach of unique cases involving giant ovarian cysts.