Relapsed giant mucinous cystadenoma – clinical case

D. Popovici, R. Socolov, L. Hurjui, C. Stan, R. Bălan, I. Hurjui, C.C. Tărniceriu, S. Bereşteanu, I.A. Hurjui

Rezumat: Giant ovarian mucinous cystadenoma is a benign tumor in most cases and usually appears in adult or middle-aged women. The mucinous cystadenoma is a noncancerous type of ovarian tumor. The ovarian mucinous cystadenoma is the second most frequent benign ovarian tumor and represents approximately 15% of all ovarian tumors. This paper presents the clinical case of a 35-year-old patient admitted to our hospital, in the gynecology department, with a history of repetitive menometrorrhagia, for about six months, diffuse abdominal pain, radiating in the lumbar region and the lower limbs, fatiguability, asthenia, dyspareunia and the voluminal growth of the abdomen in the previous two months. The physical examination, the gynecological examination, the laboratory tests focused on ovarian tumor markers (CA125, HE4, ROMA score) and the echographic examination revealed the existence of a giant ovarian tumoral growth on the only remaining ovary, the left ovary. A particularity of this clinical case is the fact that, five years before, the patient had undergone another surgery for a giant ovarian cyst on the right ovary (mucinous cystadenoma), when both a cystectomy and a right adnexectomy had been performed. In our case, we paid special attention to the values of the ovarian tumor markers, since our goal was to surgically intervene for the excision of the intact cyst, but also to keep the left ovary (a reason why we also asked for an extemporaneous examination), taking into account the missing right ovary and the age of the patient, who was only 35 years old.
Cuvinte cheie: mucinous cystadenoma, ovary, mucin, ovarian tumor markers, cystectomy, adnexectomy.