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Unexplained Fever In Gynecology
Published in Benedict Isaac, Serge Kernbaum, Michael Burke, Unexplained Fever, 2019
Jacob R. Cohen, Michael Burke, Amos Ber
Giant cell arteritis of the female genital tract may rarely occur as an isolated finding or as a part of a systemic disorder. The condition is often asymptomatic and discovered incidentally after histologic examination of resected specimens. Recently, a case of a 57-year-old woman with 4 months fever, chills, anorexia, and weight loss was described.46 Previous history disclosed total abdominal hysterectomy for leiomyomas, and excision of incidentally discovered retroperitoneal pheochromocytoma. Pelvic examination revealed a nontender mass posterior to the bladder. Explorative laparotomy was performed and followed by ovarian cystectomy and bilateral salpingo-oophorectomy. Microscopic examination of the cyst demonstrated mucinous cystadenoma. The small- to medium-sized arteries of the cyst wall, the other ovary, the fallopian tubes, and the mesosalpinx displayed widespread giant cell arteritis.
Benign Adnexal Masses and Adnexal Torsion
Published in Juan Luis Alcázar, María Ángela Pascual, Stefano Guerriero, Ultrasound of Pelvic Pain in the Non-Pregnant Female, 2019
Mucinous cystadenomas constitute 25% of all benign epithelial ovarian tumors; 10% of them are bilateral and usually appear in the fifth and sixth decades of life.1 The typical ultrasound appearance of mucinous cystadenoma is a multilocular smooth cyst with a mean tumor size of 11 cm (range 3–30 cm) (Figure 1.2).7,8 Color score is usually absent, or scanty and papillary projections may appear in 20% of the cases. Caspi et al. described that the presence of different echogenicity in different locules of the lesion is almost pathognomonic of a mucinous tumor.9
Hysterectomy via vaginal Natural Orifice Transluminal Endoscopic Surgery in virgin patients: a first feasibility study
Published in Journal of Obstetrics and Gynaecology, 2022
Katrien Nulens, Ralph Kempenaers, Jan Baekelandt
TVNH was performed in three and VANH in six cases. Concomitant bilateral salpingo-oophorectomy (BSO) was indicated in two women. In patient number 1, a 41-year-old premenopausal women, BSO was indicated for surgical castration seen her history of hormonal breast cancer and intolerance of pharmacologic castration by monthly goserelin injections. In case number 8, a mixed cystic-solid mass on the left ovary was detected on CT abdomen, performed for the indication of abdominal pain. Ovarian tumour marker CA 125 was negative. Seen the uncertain biologic behaviour and postmenopausal status, the patient was counselled for a hysterectomy with BSO. The final pathology report showed a mucinous cystadenoma with borderline foci. Therefore, the patient underwent an additional laparoscopic staging 6 weeks later to perform an appendectomy and infracolic omentectomy. There were mild adhesions between the appendix and vaginal cuff, which were easily released and did not complicate the procedure.
Beyond the commonest: right lower quadrant abdominal pain is not always appendicitis
Published in Alexandria Journal of Medicine, 2020
Mahmoud Agha, Maha Sallam, Mohamed Eid
The mucoceles occur due to abnormal excessive accumulation of mucin within the appendicular lumen, leading to excessive cystic distention of the appendix on top of different pathologies. We had been confronted with two cases (0.2%) of appendicular mucocele (Figure 4) and only one (0.1%) as low grade mucinous cystic tumor (Figure 5). Both lesions were clinically presented as right iliac fossa distension and dull aching pain, with minimal leukocytosis. Pathologically, the appendicular mucocele could be subdivided into different types; according to the underlying etiology. It could be due to simple inflammatory retention mucocele, which may occur due to appendicular lumen obstruction by a faecolith or mucosal hyperplasia. Also, it may be mucinous cystadenoma, which is the most common or less commonly mucinous cystadenocarcinoma. [16,17]
Improvement of hyperandrogenism, oligo-ovulation, and ovarian morphology in a patient with polycystic ovary syndrome: possible role of ovarian wedge resection
Published in Gynecological Endocrinology, 2018
YuanYuan Zhang, SuiYu Luo, ZhiQuan Gong, XiaoYa Feng, ZiYi Wang, HaoHui Zhu, Yu Wang
Theoretically, altering hormone level should spur ovarian cancer risks with evidence indicating that women with irregular menstruation cycle had an increased risk of serous borderline tumor in ovarian [19]. There was no significant association between PCOS and ovarian tumor observed till now, although a case report showed an obese adolescent girl with PCOS had a huge ovarian mucinous cystadenoma and teratoma recently [20]. As we know, primary mucinous epithelial ovarian carcinoma is a rarely histopathologic subset of epithelial ovarian cancer and its predominant mutations in mucinous ovarian cancer involve KRAS, BRAF, and p53 gene, the amplification of HER2 [21]. We tested the Lynch syndrome, MEN I & II (multiple endocrine neoplasia type I and II), and Li-Fraumeni syndrome associated with genes expression in this case, no mutation of MLH1, MSH2, MSH6, MEN1, RET, CHEK2, or TP53 was observed (Table 2). Therefore, ovarian mucinous cystadenoma in this patient might be abiogenetic and reserve the normal side of ovarian with safety.