Giant ovarian tumors: uncommon ovarian tumors. Report of four cases.
Tumores gigantes de ovario: una rara serie de 4 casos.
Abstract
Over time, the large size of some tumors has been described with fascination. The term “giant” is frequently used to refer to these large gynecologic tumors. Also, to call them “giants”, their measurements >10 cm, >15 cm, >20 cm are usually used, and sometimes the limits for their definition are not mentioned. Others define “large” as those >5 cm, those measuring 10-20 cm or those reaching above the umbilicus. In the English- speaking literature, there has been an agreement for more than 53 years on defining uterine or ovarian tumors weighing more than 25 lb as “giants”, because, in 1971, Beacham et al, reviewed the uterine or ovarian tumors reported between 1946-1970, weighing 25 lb. or more. The present study aimed to report the clinical characteristics and management of four uncommon cases of giant tumors, with good surgical management, that evolved successfully and without complications. We defined as “giants”, gynecologic tumors weighing 25 lb or more and the used parameter was weight, not measurements. Four tumors were benign, cystadenoma-type, and three serous. Two patients were nulliparous, and two were of indigenous race. All four patients were of extreme ages. The tumors weighed 46.738, 65.256, 26.675 and 27.116 lb (21.200, 29.600, 12.100 and 12.300 kg).
Downloads
References
Ye LY, Wang JJ, Liu DR, Ding GP, Cao LP. Management of giant ovarian teratoma: a case series and review of the literature. Oncol Lett 2012;4: 672-676. doi: 10.3892/ ol.2012.793.
Shrestha BM, Shrestha S, Kharel S, Aryal S, Rauniyar R, S Kuikel, Tiwari SB, Chaurasia H, Chapagain S, Shrestha P. Giant ovarian mucinous cystadenocarcinoma: a case report. Clin Case Rep 2022;10:e06067. doi: 10.1002/ccr3.6067.
Persano G, Severi E, Cantone N, Incerti F, Ciardini E, Noccioli B. Surgical approach to giant ovarian masses in adolescents: technical considerations. Pediat Rep 2018; 10(3)7752. doi: 10.4081/pr.2018.7752.
Leite C, Barbosa B, Santos N, Oliveira A, Casimiro C. Giant abdominal cyst in a young female patient: A case report. Int J Surg Case Rep 2020;72:549-555. doi: 10.1016/j.ijscr.2020.06.085.
Corias F, Pedeeriva F, Cozzi G, Ammar L, Lembo MA, Barbi E. A giant ovarian cyst in an adolescent. J Pediatr 2018;199:279. doi: 10.1016/j.jpeds.2018.03.015.
Bhasin SK, Kumar V, Kumar R. Giant ovarian cyst: A case report. JK Science 2014;16(3):131-133.
O’Hanlan KA. Resection of a 303.2 pound tumor. Gynecol Oncol 1994;54:365-371. doi: 10.1006/gyno.1994.1225.
Beacham W, Webster H, Lawson E, Roth L. Uterine and/or ovarian tumors weighing 25 pounds or more. Am J Obstet Gynecol 1971;109:1153-1161. doi: 10.1016/0002-9378(71)90657-0.
Fobe D, Vandervurst T, Vanhoutte L. Giant ovarian cystadenoma weighing 59 kg. Gynecol Surg 2011;8:177-179. https://doi. org/10.1007/s10397-010-0593-0.
Madhu YC, Harish K, Gotam P. Complete resection of a giant ovarian tumour. Gynecol Oncol Rep 2013; 6:4-6. doi: 10.1016/j. gynor.2013.05.001.
Shrestha BM, Shrestha S, Kharel S, Aryal S, Rauniyar R, S Kuikel, Tiwari SB, Chaurasia H, Chapagain S, Shrestha P. Giant ovarian mucinous cystadeno-carcinoma: a case report. Clin Case Rep 2022;10:e06067. doi: 10.1002/ccr3.6067.
Leite C, Barbosa B, Santos N, Oliveira A, Casimiro C. Giant abdominal cyst in a young female patient: A case report. Int J Surg Case Rep 2020;72:549-55. doi: 10.1016/j.ijscr.2020.06.085.
González-Machado JD, Fonseca-Sosa FK. Cistoadema mucinoso gigante de ovario. Rev Obstet Ginecol Venez 2024; 84(1):78-83. https://doi.org/10.51288/00840112.