Cistoadenoma gigante de ovario y embarazo
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J. Selva Andina Res. Soc.
Abstract
La presencia de un tumor gigante de ovario en el embarazo es algo muy raro, estas masas suelen ser asintomáticas y se detectan incidentalmente en el examen ecográfico del primer trimestre o hasta que alcanzan un gran tamaño, cuya extirpación se puede realizar durante la cesárea. Se presenta un caso clínico de un paciente femenino de 34 años, gestante de 36 semanas que presentó un tumor gigante de ovario evidenciado durante la cesárea de emergencia, se obtuvo recién nacido vivo y presencia tumor gigante de ovario izquierdo que midió 22 x 17 cm de diámetro. Se puede optar por una cesárea electiva junto con salpingo ooforectomía en caso de un quiste ovárico gigante que complica un embarazo a término como en el caso presentado. La ecografía sigue siendo la herramienta más importante en el estudio de masas anexiales debido a su seguridad, disponibilidad y precisión, no obstante, el diagnóstico definitivo lo otorga la histopatología. También se puede recurrir al uso de resonancia magnética, para ayudar a distinguir los tumores benignos de los malignos con mejor precisión durante el embarazo. Es importante realizar control prenatal y seguimiento estricto del tumor, para decidir el momento de tratamiento quirúrgico, con el fin de evitar complicaciones maternas o fetales.
The presence of a giant ovarian tumor in pregnancy is very rare, these masses are usually asymptomatic and are detected incidentally on the ultrasound examination of the first trimester or until they reach a large size, whose removal can be performed during cesarean section. We present a clinical case of a 34-year-old female patient, 36 weeks pregnant, who presented a giant ovarian tumor evidenced during the emergency cesarean section, a live newborn was obtained and a giant tumor of the left ovary was present that measured 22 x 17 cm in diameter. An elective cesarean section can be chosen along with salpingo oophorectomy in case of a giant ovarian cyst that complicates a full-term pregnancy as in the case presented. Ultrasound continues to be the most important tool in the study of adnexal masses due to its safety, availability and accuracy; however, the definitive diagnosis is granted by histopathology. The use of magnetic resonance imaging can also be used, to help distinguish benign tumors from malignant ones more accurately during pregnancy. It is important to carry out prenatal control and strict monitoring of the tumor, to decide the time of surgical treatment, in order to avoid maternal or fetal complications.
The presence of a giant ovarian tumor in pregnancy is very rare, these masses are usually asymptomatic and are detected incidentally on the ultrasound examination of the first trimester or until they reach a large size, whose removal can be performed during cesarean section. We present a clinical case of a 34-year-old female patient, 36 weeks pregnant, who presented a giant ovarian tumor evidenced during the emergency cesarean section, a live newborn was obtained and a giant tumor of the left ovary was present that measured 22 x 17 cm in diameter. An elective cesarean section can be chosen along with salpingo oophorectomy in case of a giant ovarian cyst that complicates a full-term pregnancy as in the case presented. Ultrasound continues to be the most important tool in the study of adnexal masses due to its safety, availability and accuracy; however, the definitive diagnosis is granted by histopathology. The use of magnetic resonance imaging can also be used, to help distinguish benign tumors from malignant ones more accurately during pregnancy. It is important to carry out prenatal control and strict monitoring of the tumor, to decide the time of surgical treatment, in order to avoid maternal or fetal complications.
Description
Vol. 16, No. 2