1 | Carol Davila University of Medicine and Pharmacy, Bucharest, Romania |
2 | Emergency University Hospital Bucharest, Department of Obstetrics and Gynecology, Bucharest, Romania |
3 | Colțea Clinical Hospital, Department of Surgery, Bucharest, Romania |
Introduction. Adnexal masses represent a diagnostic dilemma judging from the imaging and serum markers point of view. Making a correct diagnosis is of utmost importance as ovarian cancer represents a real health issue in the entire world nowadays with diagnosis in more advanced stages with low survival rates. Case presentation. Herein we present the case of a 44-year-old patient who arrived at the emergency ward for asthenia, loss of appetite, weight loss and severe dyspnea. When making the clinical examination a nontender distended abdomen was discovered with a large rather irregular mass in the left iliac fossa. An emergency computed tomography and ultrasound was solicited rendering a high suspicion of malignancy. Further analyses rendered an elevated carcinogenic antigen125 marker with high adnex model risk of malignancy and high risk of malignancy assessment score. A scheduled laparotomy was undertaken in a mixed team of gynecology and oncology surgeons discovering an intense pelvic inflammatory disease with good recovery. Conclusions. Ovarian masses represent a diagnostic dilemma as neither the imagistic evaluation nor serum markers represent absolute accuracy. A high degree of suspicion is thus imperative and whenever necessary when scheduling laparotomy a specialized oncology surgeon has to complete the surgical team.
Vancouver | Horhoianu IA, Scăunașu RV, Moarcăs M, Dumitrașcu MC. Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation. J Clin Investig Surg. 2019 Nov 25;4(2):108-113. Available from: https://www.proscholar.org/jcis/archive/vol.4/iss.2/9/ doi: 10.25083/2559.5555/4.2/108.113 |
NLM | Horhoianu IA, Scăunașu RV, Moarcăs M, Dumitrașcu MC. Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation. J Clin Investig Surg. 2019 Nov;4(2):108-113. doi: 10.25083/2559.5555/4.2/108.113. |
AMA | Horhoianu IA, Scăunașu RV, Moarcăs M, Dumitrașcu MC. Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation. J Clin Investig Surg. 2019;4(2):108-113. |
MLA | Horhoianu, Irina A., et al. “Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation.” Journal of Clinical and Investigative Surgery 4.2 (2019): 108-113. doi:10.25083/2559.5555/4.2/108.113. |
APA | Horhoianu, I. A., Scăunașu, R. V., Moarcăs, M., & Dumitrașcu, M. C. (2019). Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation. Journal of Clinical and Investigative Surgery, 4(2), 108-113. |
ISO 690 | Horhoianu , Irina A., et al. Suspicious adnexal mass mimicking an ovarian malignancy; Case presentation. Journal of Clinical and Investigative Surgery, 2019, 4.2: 108-113. |