Year: 2025
Type: article
Study design: Case Report
Abstract: Borderline mucinous ovarian tumors represent a neoplastic entity with low malignant potential, accounting for approximately 15-20% of mucinous ovarian tumors. Although they are generally diagnosed at early stages and in younger patients, presentation as giant masses are uncommon in current practice due to improved access to gynecological care and imaging studies. We report the case of a 42-year-old patient who presented with a large abdominopelvic mass accompanied by symptoms of distension, dyspnea, and early satiety. Imaging studies revealed a multiloculated cystic lesion measuring 60 cm in diameter and an estimated weight of 30 kg. Surgical intervention via exploratory laparotomy allowed complete resection of the mass through a right salpingo-oophorectomy without tumor rupture. Histopathological diagnosis confirmed a borderline mucinous tumor without destructive stromal invasion or peritoneal involvement. The patient progressed favorably without complications and showed no signs of recurrence at six months’ follow-up. This case highlights the importance of timely diagnosis and careful surgical management of giant ovarian tumors to avoid complications and ensure a favorable prognosis. It also shows that although rare, these neoplasms can reach exceptional sizes in contexts of poor adherence to medical follow-up. Finally, the need for prolonged surveillance is emphasized due to the low but existent risk of recurrence.
Authors: Universidad Técnica de Oruro- Facultad de Medicina., Marcela Erika Paniagua Morochi, Aldana Cerda Lizbeth Guadalupe, Universidad Autónoma Metropolitana., Antonio Pastor Hernandez, Instituto Politécnico Nacional, Escuela Superior de Medicina., Liliana Monserrat Muñoz Arellano, Universidad del Valle de México., Lilia mercedes Lavariega del Pino, Instituto de estudios superiores de Chiapas campus Tapachula., Pamela Tapia Mendoza, Universidad del Valle de México., Heriberto Mijail Cruz Nicolas, Instituto Politécnico Nacional, Escuela Superior de Medicina., Jesús Alonso Panduro Solórzano, Universidad de Guadalajara., Francisco Javier Ramírez, Universidad Michoacana de San Nicolás de Hidalgo., Arturo Crespo, Andrhea Shiomara Benítez Vázquez, Universidad del Valle de México., Maria Fernanda Santana Ramírez, Universidad Autónoma de Guadalajara.
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4415210267
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