{"id":941,"date":"2021-07-20T07:31:49","date_gmt":"2021-07-20T07:31:49","guid":{"rendered":"https:\/\/www.proscholar.org\/jcis\/?page_id=941"},"modified":"2021-07-20T07:31:49","modified_gmt":"2021-07-20T07:31:49","slug":"9","status":"publish","type":"page","link":"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/","title":{"rendered":"Volume 4, issue 2, pp. 108-113"},"content":{"rendered":"<p class=\"withindent\">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.<\/p>\n<p class=\"withindent\">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.<\/p>\n<p class=\"withindent\">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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":884,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"publication_category":[7],"class_list":["post-941","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Volume 4, issue 2, pp. 108-113 - Journal of Clinical and Investigative Surgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Volume 4, issue 2, pp. 108-113 - Journal of Clinical and Investigative Surgery\" \/>\n<meta property=\"og:description\" content=\"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 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Clinical and Investigative Surgery\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/\",\"url\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/\",\"name\":\"Volume 4, issue 2, pp. 108-113 - Journal of Clinical and Investigative Surgery\",\"isPartOf\":{\"@id\":\"https:\/\/www.proscholar.org\/jcis\/#website\"},\"datePublished\":\"2021-07-20T07:31:49+00:00\",\"dateModified\":\"2021-07-20T07:31:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.proscholar.org\/jcis\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Publications\",\"item\":\"https:\/\/www.proscholar.org\/jcis\/publications\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Volume 4\",\"item\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Volume 4, issue 2\",\"item\":\"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Volume 4, issue 2, pp. 108-113\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.proscholar.org\/jcis\/#website\",\"url\":\"https:\/\/www.proscholar.org\/jcis\/\",\"name\":\"Journal of Clinical and Investigative Surgery\",\"description\":\"JCIS\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.proscholar.org\/jcis\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Volume 4, issue 2, pp. 108-113 - Journal of Clinical and Investigative Surgery","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.proscholar.org\/jcis\/publications\/vol.4\/iss.2\/9\/","og_locale":"en_US","og_type":"article","og_title":"Volume 4, issue 2, pp. 108-113 - Journal of Clinical and Investigative Surgery","og_description":"Introduction. 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