history 34yG1L1(NVD) CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months
Exam:mass about 18wk in suprapubic palpated. • Lab data: • Tumor marker: • CA125(198) • CA9-19,AFP,BHCG,CEA:normal
Sonogeraphy(TVS +TAS) • UT:7.2*5*4.6 • ET:9.3mm(secretory) • Left ovary:mass 25*19mm solid-cystic and solid compent have int.echo and cyst include compacted debri =endometrial cyst? • Right ovary not seen and huge cystic mass 17.4*14.5cm in right adnexa spreading to abdomen , include vegetative nodule 9.8*5.4cm=neoplastic complex cyst=mucinouscystadenocarcinoma?
Operation: • RT Salpangoophorectomy, sent for frozensection: • Serocystoadenocarcinoma • then:TAH+BSO+OMENTECTOMY+PELVIC LYMPHADENECTOMY
Pathology report • Right ovary :low grade papillary cyst adenocarcinoma, intact capsul.Fallop:normal. • Cytology:negative • Ut :early secretory endometrium.Acute on chronic cervitis.Paratubalcyst,cysticfollicol and hemorrhagic cyst in omentum. • Lymph nodes: reactive pattern.