Giant Complex Adnexal Cyst Weighing 10 Kilograms in a 71-Year-Old Woman With Markedly Elevated Tumor Markers: A Case Report and Literature Review

Fathollahi, Mohammad Amin; Seyed Hosseini, Seyed Vahid

Giant Complex Adnexal Cyst Weighing 10 Kilograms in a 71-Year-Old Woman With Markedly Elevated Tumor Markers: A Case Report and Literature Review

Document Type : Case Report

Authors

Mohammad Amin Fathollahi ¹

Seyed Vahid Seyed Hosseini ²

¹ Interdisciplinary Neuroscience Research Program, Tehran University of Medical Sciences, Tehran, Iran

² General Surgeon, Sina Hospital, Tabriz University of Medical science, Tabriz, Iran

Abstract

Large adnexal cystic masses, particularly in elderly patients, pose significant diagnostic and therapeutic challenges. In this report, we present the case of a 71-year-old woman with a complex 10-kg adnexal cystic mass suspected to be either cystadenoma or cystadenocarcinoma. The patient experienced progressive abdominal pain, distention, dyspnea, and functional impairments such as difficulty walking and sleeping over a six-month period. Laboratory tests revealed a marked elevation of tumor markers CA-125 and CA-19-9, supporting the suspicion of malignancy. Abdominopelvic CT scan confirmed the presence of a large septated cystic mass extending into the upper abdomen. The patient underwent total abdominal hysterectomy with bilateral oophorectomy, and the 10-kg mass was successfully excised without complications. Postoperatively, she was referred to an oncologist for additional evaluation and further management. This case highlights the importance of early diagnosis, meticulous surgical planning, and multidisciplinary management of large adnexal masses.

Keywords

large adnexal cystic masses

10-kg mass

total abdominal hysterectomy

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