Giant Ovarian Cyst: A Case Report

Cystic abdominal tumors are extremely common and now they are diagnosed more frequently and earlier due to availability of better imaging modalities. Now a days ovarian cysts rarely grow immense due to the fact that ultrasonography scanning permits early detection and appropriate treatment. Occasionally, ovarian cysts reach enormous dimensions without raising any symptom. A few cases of giant ovarian cysts have been sporadically reported in the literature. (1-3) Furthermore, Mucinous cyst adenomas (MCAs) of the ovary are known for their potential to grow to massive proportions and are often incidentally diagnosed. They are typically benign tumors accounting for 15% of ovarian neoplasms and up to 80% of all mucinous tumors.(4) Ovarian MCAs are characteristically unilateral, only 5% presenting bilaterally, and the peak incidence occurs among women who are between 30 and 50 years of age.(5) MCA appears as a large cystic mass, often multiloculated, containing sticky gelatinous fluid. The vast majority of mucinous tumors are benign (75%), 10% borderline, and 15% carcinomas. (6) Management of ovarian cysts depends on the patient's age, the size and structure of the cyst and menopausal status. Surgical management of cysts is by open or laparoscopic cyst excision or cystectomy with oophorectomy. (7,8) We Abstract Cystic abdominal tumors are extremely common. Now a day they are diagnosed more frequently and much earlier due to availability of better imaging modalities. Presentation of large ovarian cysts has become rare as most of them are diagnosed and treated early. Still we get reports of patients with large/giant benign abdominal cysts and many of them are serous cyst adenoma of ovary. Mucinous cyst adenomas (MCAs) of the ovary are known for their potential to grow to massive proportions and are often incidentally diagnosed. They are typically benign tumors accounting for 15% of ovarian neoplasm's and up to 80% of all mucinous tumors. Sometimes, it becomes very difficult to identify the source of these cysts and are misdiagnosed as mesenteric cyst. Final diagnosis is only possible at laparotomy. Here we report a case of Giant ovarian cysts in an octogenarian female, weighing 27 kgs.