HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages

The article describes the experience of successful diagnostics and treatment of giant non-organ extraperitoneal tumor combined with a cystoma of uterine appendages.Patient P., 43 years old, was hospitalized in the oncology department, diagnosed with “Abdominal tumor, right ovary?” The state was sati...

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Autores principales:	N. I. Bogomolov, A. G. Goncharov, N. N. Tomskikh, Y. Y. Goncharova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	non-organ retroperitoneal tumor diagnosis surgery treatment Science Q
Acceso en línea:	https://doaj.org/article/82c71cf4d7fd4805a85fc0ab33f23ded
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spelling	oai:doaj.org-article:82c71cf4d7fd4805a85fc0ab33f23ded2021-11-23T06:14:42ZHugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages2541-94202587-959610.29413/ABS.2019-4.2.20https://doaj.org/article/82c71cf4d7fd4805a85fc0ab33f23ded2019-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2058https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article describes the experience of successful diagnostics and treatment of giant non-organ extraperitoneal tumor combined with a cystoma of uterine appendages.Patient P., 43 years old, was hospitalized in the oncology department, diagnosed with “Abdominal tumor, right ovary?” The state was satisfactory, after palpation of the abdomen, a lumpy formation of a densely elastic consistency, from the womb to the epigastric region, was found. An ultrasound revealed a homogeneous tumor formation 30×28 cm from the border of the uterus to the liver. When performing median laparotomy, a dumbbell-shaped tumor (36×26×20 cm) was found in the retroperitoneal space with involvement of the mesentery of the small intestine, lower horizontal portion of the duodenum, mesentery of the transverse colon, superior mesenteric vessels, aorta and jejunum. In the right appendages, a cystoma 12–15 cm in diameter was found, with inversion and necrosis. Adnexectomy was performed. An express lymph node biopsy revealed cells suspicious for malignancy. The tumor was mobilized and removed as a single unit with retroperitoneal tissue, lymph nodes in combination with resection of 70 cm of the jejunum and fenestrated resection of the duodenum. The resulting gut defect 9×7 cm was sutured with a precision single-row suture. Inter-intestinal anastomosis “endto-end” was formed. Nasointestinal intubation was performed. The abdominal cavity was sutured, and two tubular drainages were installed. The postoperative period was uneventful. The histological conclusion: fibrous histiocytoma of the mesentery of the intestine with malignancy in the center of the node, in the ovary – total hemorrhagic infiltration of all layers, edema. The tumor conference consultation was recommended. After 1.5 years, the patient was admitted with the same clinical picture. During laparotomy, a tumor recurrence was discovered, the nodes of which were located in the retroperitoneal space, in the abdominal cavity with invasion to organs and large vessels. The case was recognized as inoperable, the laparotomic wound was closed completely. Sixteen days after surgery the patient was discharged.N. I. BogomolovA. G. GoncharovN. N. TomskikhY. Y. GoncharovaScientific Сentre for Family Health and Human Reproduction Problemsarticlenon-organ retroperitoneal tumordiagnosissurgerytreatmentScienceQRUActa Biomedica Scientifica, Vol 4, Iss 2, Pp 140-143 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	non-organ retroperitoneal tumor diagnosis surgery treatment Science Q
spellingShingle	non-organ retroperitoneal tumor diagnosis surgery treatment Science Q N. I. Bogomolov A. G. Goncharov N. N. Tomskikh Y. Y. Goncharova HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
description	The article describes the experience of successful diagnostics and treatment of giant non-organ extraperitoneal tumor combined with a cystoma of uterine appendages.Patient P., 43 years old, was hospitalized in the oncology department, diagnosed with “Abdominal tumor, right ovary?” The state was satisfactory, after palpation of the abdomen, a lumpy formation of a densely elastic consistency, from the womb to the epigastric region, was found. An ultrasound revealed a homogeneous tumor formation 30×28 cm from the border of the uterus to the liver. When performing median laparotomy, a dumbbell-shaped tumor (36×26×20 cm) was found in the retroperitoneal space with involvement of the mesentery of the small intestine, lower horizontal portion of the duodenum, mesentery of the transverse colon, superior mesenteric vessels, aorta and jejunum. In the right appendages, a cystoma 12–15 cm in diameter was found, with inversion and necrosis. Adnexectomy was performed. An express lymph node biopsy revealed cells suspicious for malignancy. The tumor was mobilized and removed as a single unit with retroperitoneal tissue, lymph nodes in combination with resection of 70 cm of the jejunum and fenestrated resection of the duodenum. The resulting gut defect 9×7 cm was sutured with a precision single-row suture. Inter-intestinal anastomosis “endto-end” was formed. Nasointestinal intubation was performed. The abdominal cavity was sutured, and two tubular drainages were installed. The postoperative period was uneventful. The histological conclusion: fibrous histiocytoma of the mesentery of the intestine with malignancy in the center of the node, in the ovary – total hemorrhagic infiltration of all layers, edema. The tumor conference consultation was recommended. After 1.5 years, the patient was admitted with the same clinical picture. During laparotomy, a tumor recurrence was discovered, the nodes of which were located in the retroperitoneal space, in the abdominal cavity with invasion to organs and large vessels. The case was recognized as inoperable, the laparotomic wound was closed completely. Sixteen days after surgery the patient was discharged.
format	article
author	N. I. Bogomolov A. G. Goncharov N. N. Tomskikh Y. Y. Goncharova
author_facet	N. I. Bogomolov A. G. Goncharov N. N. Tomskikh Y. Y. Goncharova
author_sort	N. I. Bogomolov
title	HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
title_short	HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
title_full	HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
title_fullStr	HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
title_full_unstemmed	HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages
title_sort	hugenon-organ retroperitoneal tumor incombination with acystoma of uterine appendages
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/82c71cf4d7fd4805a85fc0ab33f23ded
work_keys_str_mv	AT nibogomolov hugenonorganretroperitonealtumorincombinationwithacystomaofuterineappendages AT aggoncharov hugenonorganretroperitonealtumorincombinationwithacystomaofuterineappendages AT nntomskikh hugenonorganretroperitonealtumorincombinationwithacystomaofuterineappendages AT yygoncharova hugenonorganretroperitonealtumorincombinationwithacystomaofuterineappendages
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HugeNon-Organ Retroperitoneal Tumor inCombination with aCystoma of Uterine Appendages

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