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SJMR 2026, 11(1): 43-49 |
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Nateghi M R, Khandzad B. Giant Benign Serous Cystadenoma with Unusual Dermatologic Manifestations Despite a Normal Menstrual Pattern: A Case Report and Review of Diagnostic Challenges. SJMR 2026; 11 (1) : 7
URL: http://saremjrm.com/article-1-392-en.html
URL: http://saremjrm.com/article-1-392-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
Abstract: (11 Views)
Introduction: Serous ovarian cysts are among the most common benign epithelial ovarian tumors. Although these lesions are typically diagnosed at an early stage before reaching a considerable size, delayed diagnosis may occur in some cases due to the absence of specific symptoms or the presence of unusual clinical manifestations. Reporting cases with exceptionally large tumors and non-gynecological presentations may enhance physicians’ awareness and facilitate earlier diagnosis of such lesions.
Case Presentation: A 38-year-old woman had been repeatedly evaluated by a dermatologist because of persistent skin and hair problems. Despite these complaints, she reported a normal menstrual pattern. Further investigations, including pelvic ultrasonography, revealed a large cystic mass in the left adnexa. Magnetic resonance imaging (MRI) demonstrated a unilocular, thin-walled abdominopelvic cystic lesion measuring 260 × 215 × 150 mm in the left adnexal region, without solid components or papillary projections. The patient underwent laparoscopic surgery on May 7, 2024. Initially, approximately 2500 mL of cystic fluid was aspirated under ultrasound guidance and sent for cytological evaluation. Subsequently, laparoscopic cystectomy with complete excision of the cyst wall was performed. Histopathological examination confirmed the diagnosis of a benign serous cystadenoma. Follow-up ultrasonography after surgery revealed no abnormal findings.
Conclusion: Giant ovarian cysts may present with unusual manifestations despite a normal menstrual pattern and the absence of prominent gynecological symptoms. This case highlights the importance of comprehensive evaluation in patients with nonspecific complaints and demonstrates that selected cases of large ovarian cysts can be successfully managed using a laparoscopic approach.
Case Presentation: A 38-year-old woman had been repeatedly evaluated by a dermatologist because of persistent skin and hair problems. Despite these complaints, she reported a normal menstrual pattern. Further investigations, including pelvic ultrasonography, revealed a large cystic mass in the left adnexa. Magnetic resonance imaging (MRI) demonstrated a unilocular, thin-walled abdominopelvic cystic lesion measuring 260 × 215 × 150 mm in the left adnexal region, without solid components or papillary projections. The patient underwent laparoscopic surgery on May 7, 2024. Initially, approximately 2500 mL of cystic fluid was aspirated under ultrasound guidance and sent for cytological evaluation. Subsequently, laparoscopic cystectomy with complete excision of the cyst wall was performed. Histopathological examination confirmed the diagnosis of a benign serous cystadenoma. Follow-up ultrasonography after surgery revealed no abnormal findings.
Conclusion: Giant ovarian cysts may present with unusual manifestations despite a normal menstrual pattern and the absence of prominent gynecological symptoms. This case highlights the importance of comprehensive evaluation in patients with nonspecific complaints and demonstrates that selected cases of large ovarian cysts can be successfully managed using a laparoscopic approach.
Article number: 7
Keywords: Benign Serous Cystadenoma, Giant Ovarian Cyst, Left Adnexa, Laparoscopy, Cystectomy, Case Report
Article Type: Case Report |
Subject:
Women Diseases
Received: 2026/05/30 | Accepted: 2026/06/19 | Published: 2026/06/23
Received: 2026/05/30 | Accepted: 2026/06/19 | Published: 2026/06/23
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