Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-hfldf Total loading time: 0 Render date: 2024-05-20T18:51:59.663Z Has data issue: false hasContentIssue false

Case 59 - A 40-Year-Old G3P3 Woman with 20 cm Unilateral Simple Cyst

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 40-year-old woman, gravida 3, para 3, with last menstrual period two weeks ago presents for evaluation of a palpable pelvic mass. She reports noticing a slow increase in her abdominal distention over the last four months; however, she denies abdominal pain. She denies any bowel or bladder dysfunction. She is sexually active and denies dyspareunia. Her sexual partner has had a vasectomy. She denies a personal history of breast cancer and denies any family history of breast, ovarian, or colon cancer. Her medical history is significant for anxiety. She has no past surgical history. She is currently taking citalopram. She has no know drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 180 - 182
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NIH consensus conference. Ovarian cancer. Screening, treatment, and follow-up. NIH Consensus Development Panel on Ovarian Cancer. JAMA 1995; 273: 491–7.Google Scholar
American Cancer Society. Cancer facts and figures 2016. Atlanta, GA: ACS; 2016. Available at https://cancerstatisticscenter.cancer.org/#!/cancer-site/Ovary. (Accessed July 2020.)Google Scholar
Practice Bulletin No. 174: Evaluation and management of adnexal masses. Obstet Gynecol 2016; 128: e210–26.Google Scholar
Davarpanah, AH, Kambadakone, A, Holalkere, NS, et al. Diffusion MRI of uterine and ovarian masses: identifying the benign lesions. Abdom radiol (NY) 2016; 41(12): 2466–75.Google ScholarPubMed
Coleman, RL, Herzog, TJ, Chan, DW, et al. Validation of a second-generation multivariate index assay for malignancy risk of adnexal masses. Am J Obstet Gynecol 2016; 215: 82.e111.CrossRefGoogle ScholarPubMed
Terlikowska, KM, Dobrzycka, B, Witkowska, AM, et al. Preoperative HE4, CA125, and ROMA in the differential diagnosis of benign and malignant adnexal masses. J Ovarian Res 2016; 9: 43.CrossRefGoogle ScholarPubMed
Muzii, L, Angioli, R, Zullo, M, Panici, PB. The unexpected ovarian malignancy found during operative laparoscopy: incidence, management, and implications for prognosis. J Minim Invasive Gynecol 2005; 12: 81–9.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×