- Visibility 148 Views
- Downloads 53 Downloads
- Permissions
- DOI 10.18231/2394-2754.2018.0064
-
CrossMark
- Citation
A case series on large benign ovarian tumours in post-menopausal woman
- Author Details:
-
Sujitha Sivarajan
-
Sheila K Pillai
-
Usha Vishwanath
Introduction: Space occupying large abdomino -pelvic ovarian tumours are uncommon. Such huge ovarian tumours in post-menopausal women have to be evaluated as they raise the suspicion of malignancy. The prevalence of ovarian neoplasm in post-menopausal women is 14-18% with a risk of 10-40% in the case of large complex ovarian cysts.
Objective: To study the clinical features, imaging and management of 5 post-menopausal women with large benign ovarian tumours.
Materials and Methods: A retrospective study in a tertiary care institutional hospital between December 2017- February 2018 among 5 post-menopausal women with large benign ovarian tumours.
Results: All of them presented with abdominal distension, abdominal pain and breathing difficulties. They underwent exploratory laparotomy with frozen section. Histopathology reports of all 5 showed benign ovarian tumours, the most common being serous cystadenoma.
Conclusion: The large size of the ovarian tumour warrants surgical removal of the same. This case series shows that not all extremely large tumours need to be malignant. Patients also present at a much later stage due to lack of awareness, ignorance and logistic reasons.
Keywords: Large benign ovarian tumours, Post-menopausal women.
References
- Sirishapalakodety S. N. R. S1, Syamala Onimi2, Usharani G3, Study of Large Benign Ovarian Neoplasms in Postmenopausal women, November Volume:6,Issue:91Page:6386-6389, JEMDS.
- S. Shanmughapriya, G. Senthilkumar, S. Arun, B.C. Das and K. Natarajaseenivasan, 2016. Risk Factors for Epithelial Ovarian Carcinoma in India: A Case Control Study in Low-Incidence Population. International Journal of Cancer Research, 12:61-68.
- RCOG Green-top guideline No 62, Page 4 of 14, RCOG/BSGE Joint Guideline, November 2011, Management of Suspected Ovarian Masses in Pre- menopausal women.
- Ovadia J, Goldman GA, Ovarian masses in postmenopausal women. Int J Gynaecol1992 Sep;39(1):35-9.
- Yogambal M, Arunalatha P, Chandramouleeswari K, Palaniappan V. Ovarian tumours-Incidence and distribution in a tertiary referral center in south India. IOSR J Dental Med Sci. 2014;13(2):74-80.
- Mondal SK, Banyopadhayay R, Nag DR, Roychowdhury S, Mondal PK, Sinha SK. Histologic pattern, bilaterality and clinical evaluation of 957 ovarian neoplasms: a10 year study in a tertiary hospital of eastern India. J Cancer Res Ther. 2011;7(4):433–7.
- Soumini G et al. Int J Reprod Contracept Obstet Gynecol. 2015 Aug;4(4):982-989.
- Rajavigneshwari N et al., “Clinicopathological spectrum of ovarian tumours in a tertiary care hospital”, Journal of evolution of Medical and Dental Sciences, vol.6, no.36, 2017, p. 2948.
- Jacobs I., Oram D, Fairbanks J., Turner J., Frost C., Grudzinskas J. G., (1990), A risk of malignancy index incorporating CA 125, ultrasound and menopausal status for the accurate preoperative diagnosis of ovarian cancer. BJOG: An International Journal of Obstetrics & Gynaecology, 97:922–929.
- Tingulstad, S., Hagen, B., Skjeldestad, F. E., Onsrud, M., Kiserud, T., Halvorsen, T. and Nustad, K. (1996), Evaluation of a risk of malignancy index based on serum CA125, ultrasound findings and menopausal status in the pre-operative diagnosis of pelvic masses. BJOG: An International Journal of Obstetrics & Gynaecology, 103:826–831.
- Tingulstad, Solveig MD; Hagen, Bjørn MD, PhD; Skjeldestad, Finn Egil MD, PhD; Halvorsen, Tore MD, PhD; Nustad, Kjell MD, PhD; Onsrud, Mathias MD, PhD The Risk-Of-Malignancy Index to evaluate potential Ovarian Cancers in local hospitals. ABOG: Obstetrics & Gynecology: March 1999 - Volume 93 - Issue 3-p.448–
- Susan C. Modesitt, Edward J. Pavlik, Frederick R. Ueland, Paul D. DePriest, R. J. Kryscio, J. R. van Nagell. MDVOL. Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter, The American College of Obstetricians and Gynecologists, VOL 102, NO. 3, SEPTEMBER 2003,594-599.
- Ian Jacobs, Ann Prys Davies, Jane Bridges, Isabel Stabile, Toby Fay, Adrian Lower, J G Grudzinskas, David Oram. Prevalence screening for ovarian cancer in postmenopausal women by CA 125 measurement and ultrasonography, BMJ Volume 306 17 April 1993, 1030-
- C.L. Bailey, F.R. Ueland, G.L. Land, P.D. DePriest, H.H. Gallion, R.J. Kryscio, J.R. van Nagell, The Malignant Potential of Small Cystic Ovarian Tumors in Women over 50 Years of Age, Gynecologic Oncology, Volume 69, Issue 1, April 1998, Pages 3-7.
- DePriest, P.D. et al. Ovarian Cancer Screening in Asymptomatic Postmenopausal Women, Gynecologic Oncology, Volume 51, Issue 2, 205–209.
- O'Connell GJ, Ryan E, Murphy KJ, Prefontaine M. Predictive value of CA 125 for ovarian carcinoma in patients presenting with pelvic masses. Obstet Gynecol. 1987 Dec;70(6):930-2.
- Vasilev SA, Schlaerth JB, Campeau J, Morrow CP, Serum CA-125 levels in preoperative evaluation of pelvic masses, Obstetrics and gynecology; 1988 May;71(5) 751-
- Rulin MC, Preston AL. Adnexal masses in postmenopausal women. Obstet Gynecol 1987;70(4):578-
- Katke RD (2016) Huge Dermoid Cyst 7 kg Weight in a Post-Menopausal Woman Mimicking a Malignant Ovarian Tumour: Rare Case with Review of Literature. Gen Med (Los Angel) 4:241. doi:10.4172/2327-
[Google Scholar] - Sujatha, Vellanki Venkata, and Sunkavalli Chinna Babu. “Giant Ovarian Serous Cystadenoma in a Postmenopausal Woman: A Case Report.” Cases Journal 2 (2009):
- PMC. Web. 3 Mar. 2018.
How to Cite This Article
Vancouver
Sivarajan S, Pillai SK, Vishwanath U. A case series on large benign ovarian tumours in post-menopausal woman [Internet]. Indian J Obstet Gynecol Res. 2018 [cited 2025 Oct 17];5(2):293-296. Available from: https://doi.org/10.18231/2394-2754.2018.0064
APA
Sivarajan, S., Pillai, S. K., Vishwanath, U. (2018). A case series on large benign ovarian tumours in post-menopausal woman. Indian J Obstet Gynecol Res, 5(2), 293-296. https://doi.org/10.18231/2394-2754.2018.0064
MLA
Sivarajan, Sujitha, Pillai, Sheila K, Vishwanath, Usha. "A case series on large benign ovarian tumours in post-menopausal woman." Indian J Obstet Gynecol Res, vol. 5, no. 2, 2018, pp. 293-296. https://doi.org/10.18231/2394-2754.2018.0064
Chicago
Sivarajan, S., Pillai, S. K., Vishwanath, U.. "A case series on large benign ovarian tumours in post-menopausal woman." Indian J Obstet Gynecol Res 5, no. 2 (2018): 293-296. https://doi.org/10.18231/2394-2754.2018.0064