SRINAGARIND MEDICAL JOURNAL

Volume 35, No. 04, Month JULY, Year 2020, Pages 484 - 487

Extremely large ovarian endometriotic cyst presenting with imaged diagnosis of ovarian cancer a case report

Chokchai Chotboon, Teerayut Temtanakitpaisan, Apiwat Aue-Aungkul, Yuwadee Itarat, Amornrat Temtanakitpaisan

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Background and Objective: Endometriosis is a common benign gynecologic disease in reproductive-aged women. The clinical manifestations of endometriosis are progressive dysmenorrhea, subfertility, and pelvic masses. Most endometriotic cysts are less than 12 cm. in diameter. We report an unusual case of an extremely large endometriotic cyst that gradually enlarged to near term gravid uterine size over the course of a year. Case report: We report a 26-year-old female patient with a gradually enlarging pelvic mass and progressive dysmenorrhea. A whole abdominal CT scan was taken before the operative procedure, and it revealed an ovarian cancer-like complex mass that was 30 centimeters in diameter. The patient underwent exploratory laparotomy with right salpingo-oophorectomy and left ovarian cystectomy. The pathological diagnosis was bilateral endometriotic cysts. Conclusion: As endometriotic cysts might manifest as ovarian cancer, they require careful management and long-term follow up at least 5 years. Moreover, intensive counseling about appropriate treatment is very important. Especially young patients, should not rush to decide on staging surgery based on the results of radiographic examination alone

Keywords

endometriotic cyst CT image ovarian cance

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