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  • Title: Giant solid abdominal mass with cystic lesions: a case report and diaphorodiagnostic approach.
    Author: Iavazzo C, Myriokefalitaki E, Vorgias G, Akrivos T, Lekka I, Katsoulis M.
    Journal: Bratisl Lek Listy; 2006; 107(11-12):445-7. PubMed ID: 17425164.
    Abstract:
    A peri-menopausal woman presented with abdominal distention, pelvic discomfort and problems of constipation for the last 4 months. All clinical and radiological examinations were in favor of a giant solid mass with cystic lesions arised from the left ovary. These findings raised suspicion of a primary malignant ovarian tumor or a preudomyxoma peritonei. Surgery revealed a giant mass arised from the uterine fundus. An abdominal hysterectomy with bilateral salpingo-oophorectomy and omentectomy were preformed. The histological examination verified a degenerated myoma with cystic lesions with no evidence of malignancy. The patient made an uneventful recovery. A gynecologist should always be prepared to perform a different surgery than planned according to operational findings (Fig. 2, Ref. 11).
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