Abstract

Background: The purpose of this work was to describe possible diagnostic methods before the surgical treatment as well as to comment on surgical problems dealing with removing giant ovarian tumors.

Case Presentation: This paper presents a case report of a young woman with an enormous ovarian tumor in the abdomen and pelvis.

Discussion and Conclusion: Giant ovarian tumors are a rare condition, probably due to early diagnosis and treatment. Nevertheless, there are still many difficulties in the diagnostic process of ovarian masses. The borderline ovarian tumors show many inconsistencies according to tumor marker expression and features in the ultrasound examination. Since developing the IOTA algorithms for the diagnosis of ovarian masses, the pre-operative classification and identification of the lesions became easier and more adequate. Laparoscopic treatment, with all advantages, encounters some difficulties in case of removing giant ovarian cysts which is mainly rupture of a cyst. In case of high possibility for malignant tumors, laparotomy seems to be safer.