A Giant Ovarian Tumor Causing Anasarca and Dyspnea Successfully Managed after Preoperative Drainage
A Giant Ovarian Tumor Causing Anasarca and Dyspnea Successfully Managed after Preoperative Drainage
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DOI：
10.1159/000369389
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发表时间：
2015-01-01
影响因子：
2.1
通讯作者：
Katabuchi, Hidetaka
中科院分区：
文献类型：
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作者：
Yamaguchi, Munekage;Tashiro, Hironori;Katabuchi, Hidetaka
严重的并发症可能伴随巨大的卵巢肿瘤的治疗，切除或不术前引流已被报道。在这里，我们报告了一名27岁的日本女性，体重明显增加了50公斤，因步态障碍和呼吸困难被转介到熊本大学医院。影像学检查显示卵巢肿瘤，直径37厘米，有两个实性成分。经耻骨上导尿管引流31.5 I肿瘤液3天后，患者病情好转。肿瘤随后被切除，无并发症，并被诊断为左侧卵巢粘液瘤伴恶性成分，重37公斤（81.5磅）。患者病情好转后出院，两周内体重由100降至50 kg，并伴有大量排尿。术后15个月患者病情良好，无复发迹象。术前引流后肿瘤切除是治疗巨大卵巢肿瘤所致呼吸困难的有效方法。我们建议使用耻骨上导尿管进行术前引流，因为它易于使用，可以防止可能的恶性肿瘤引起的液体泄漏。(C) 2015 S. Karger AG，巴塞尔
Serious complications are likely to accompany the treatment of giant ovarian tumors, and resection with or without pre-operative drainage has been previously reported. Here, we report the case of a 27-year-old Japanese woman with a significant weight gain of 50 kg, who was referred to the Kumamoto University Hospital because of gait impairment and dyspnea. Imaging tests revealed an ovarian tumor, 37 cm in diameter, with two solid components. The patient's condition improved after the removal of 31.5 I tumor fluid by using a suprapubic urinary catheter for 3 days. The tumor was subsequently resected without complications, and was diagnosed as a left mucinous ovarian tumor with malignant components, weighing 37 kg (81.5 lb). The patient was discharged after her anasarca improved, and her body weight decreased from 100 to 50 kg with accompanying considerable urination within two weeks. She was in good condition with no evidence of recurrence at 15 months after surgery. Tumor resection after preoperative drainage was effective in the management of a patient with dyspnea induced by a giant ovarian tumor. We suggest the use of a suprapubic urinary catheter for preoperative drainage because of its ease of use in preventing fluid leakage from the possibly malignant tumor. (C) 2015 S. Karger AG, Basel