A case series on large benign ovarian tumours in post-menopausal woman Sivarajan Sujitha1,*, Pillai Sheila K2, Vishwanath Usha3 1Post Graduate, Dept. of Obstetrics and Gynaecology, Sri Ramachandra University, Chennai, Tamil Nadu, India 2Associate Professor, Dept. of Obstetrics and Gynaecology, Sri Ramachandra University, Chennai, Tamil Nadu, India 3Professor, Dept. of Obstetrics and Gynaecology, Sri Ramachandra University, Chennai, Tamil Nadu, India *Corresponding Author: Email: sujifudge@hotmail.com
Online published on 24 September, 2018. Abstract Introduction Space occupying large abdomino-pelvic ovarian tumours are uncommon. Such huge ovarian tumours in postmenopausal women have to be evaluated as they raise the suspicion of malignancy. The prevalence of ovarian neoplasm in postmenopausal 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. Top Keywords Large benign ovarian tumours, Post-menopausal women. Top |