34yG1L1(NVD) CC:Incomplete bladder emptying, Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months.

HISTORY

34yG1L1(NVD)CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago.Urinary Retention 2times in the past few months

Exam:mass about 18wk in suprapubic palpated. Lab data: Tumor marker: CA125(198) CA9-19,AFP,BHCG,CEA:normal

Sonogeraphy(TVS +TAS)

UT:7.2*5*4.6 ET:9.3mm(secretory) Left ovary:mass 25*19mm solid-cystic and solid

compent have int.echo and cyst include compacted debri =endometrial cyst?

Right ovary not seen and huge cystic mass 17.4*14.5cm in right adnexa spreading to abdomen , include vegetative nodule 9.8*5.4cm=neoplastic complex cyst=mucinouscystadenocarcinoma?

Operation:

RT Salpangoophorectomy , sent for

frozensection: Serocystoadenocarcinoma

then:TAH+BSO+OMENTECTOMY+PELVIC LYMPHADENECTOMY

Pathology report Right ovary :low grade papillary cyst

adenocarcinoma, intact capsul.Fallop:normal. Cytology:negative Ut :early secretory endometrium.Acute on

chronic cervitis.Paratubal cyst,cystic follicol and hemorrhagic cyst in omentum.

Lymph nodes: reactive pattern.