title: Giant solid abdominal mass with cystic lesions: a case report and diaphorodiagnostic approach.
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).
authors.affiliation: Department of Gynecology, Metaxa Memorial AntiCancer Hospital, Peiraeus, Greece. christosiavazzo@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Iavazzo
authors.forename: E
authors.initials: E
authors.lastname: Myriokefalitaki
authors.forename: G
authors.initials: G
authors.lastname: Vorgias
authors.forename: T
authors.initials: T
authors.lastname: Akrivos
authors.forename: I
authors.initials: I
authors.lastname: Lekka
authors.forename: M
authors.initials: M
authors.lastname: Katsoulis
mesh_terms: D003560:Cysts / Q000175:diagnosis; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology