Abstract
Introduction
Ovary is located inside peritoneal cavity. However, a huge malignant ovarian tumor may get involved with retroperitoneal structures.
Case report
We reported a case of a 70-year-old woman presented with a 2-month history of increased abdominal distention and was subsequently found to have a giant abdominal mass. A huge low signal intensity mass with the involvement of retroperitoneal structures was showed on MRI. At operation, we found that the tumor pushed mesentery and small bowel upwards with the encasement of 10 cm jejunum and was fixed posteriorly to vena cava, aorta, right iliac vessels, and right ureter. It was dissected from the retroperitoneal structures and resected en bloc with the involved jejunum.
Conclusion
Although ovary is located inside peritoneal cavity, a huge malignant ovarian tumor may get involved with retroperitoneal structures. So, great care should be taken not to injury the retroperitoneal structures as vena cava, mesenteric vessels, iliac vessels, and ureters.
References
McCluggage WG, Young RH (2005) Immunohistochemistry as a diagnostic aid in the evaluation of ovarian tumors. Semin Diagn Pathol 22:3–32
Gultekin M, Dursun P, Ozyuncu O et al (2005) Primary ovarian fibrosarcoma: a case report and review of the literature. Int J Gynecol Cancer 15:1142–1147
Chiappa A, Zbar AP, Bertani E et al (2006) Primary and recurrent retroperitoneal soft tissue sarcoma: prognostic factors affecting survival. J Surg Oncol 93:456–463
An JY, Heo JS, Noh JH et al (2007) Primary malignant retroperitoneal tumors: analysis of a single institutional experience. Eur J Surg Oncol 33:376–382
Avancès C, Mottet N, Mahatmat A et al (2006) Prognostic factors for first recurrence in patients with retroperitoneal sarcoma. Urol Oncol 24:94–96
Hassan I, Park SZ, Donohue JH et al (2004) Operative management of primary retroperitoneal sarcomas: a reappraisal of an institutional experience. Ann Surg 239:244–250
Kim MS, Lee SY, Cho WH et al (2008) Initial tumor size predicts histologic response and survival in localized osteosarcoma patients. J Surg Oncol 97:456–461
Dryjski ML, Litwinski RA, Karakousis CP (2005) Internal packing in the control of hemorrhage from large retroperitoneal veins. Am J Surg 189:208–210
Choudry H, Avella D, Garcia L et al (2008) Use of the left renal vein as a practical conduit in superior mesenteric vein reconstruction. J Surg Res 146:117–120
Ohwada S, Hamada K, Kawate S et al (2007) Left renal vein graft for vascular reconstruction in abdominal malignancy. World J Surg 31:1215–1220
Conflicts of interest statement
There is no financial relationship with the organization that sponsored the research, and we have had full control of all primary data and that we agree to allow the Journal to review their data if requested.
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Liu, H., Hao, S.H. & Li, W.M. Giant malignant ovarian fibrothecoma involved with retroperitoneal structures mimicking a retroperitoneal sarcoma. Arch Gynecol Obstet 279, 763–765 (2009). https://doi.org/10.1007/s00404-008-0799-9
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DOI: https://doi.org/10.1007/s00404-008-0799-9