IMR Press / EJGO / Volume 39 / Issue 3 / DOI: 10.12892/ejgo3756.2018

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Large para-ovarian borderline papillary serous cystic tumor causing dyspnea
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1 Department of Obstetrics & Gynecology - 6th October University, Egypt
2 Department of Urology - Cairo University, Cairo, Egypt
Eur. J. Gynaecol. Oncol. 2018, 39(3), 483–484; https://doi.org/10.12892/ejgo3756.2018
Published: 10 June 2018
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
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