Evidence map›Paper›PMID 38704534›Full record

ReviewBMC women's health2024

Perioperative management of a patient with unexpectedly detected early-stage ovarian mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature review.

Dingbei Zhang, Ruibo Xu, Tingting Huo, Ying Liu, Zengfang Hao, Yao Sun, Xiaoyu Xi, Xiaoli Du, Lili Wang, Jiexian Du

Abstract readCase ReportsReview
In one paragraph

Review in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Dingbei Zhang *Department of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Ruibo Xu *Department of Gynecology, Handan first hospital, Handan, 056000, Hebei, China.
Tingting HuoDepartment of Anaesthesiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300072, China.
Ying LiuDepartment of Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Zengfang HaoDepartment of Pathology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Yao SunDepartment of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Xiaoyu XiDepartment of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Xiaoli DuDepartment of Gynecology, Traditional Chinese Medicine Hospital of Shijiazhuang, Hebei, 050000, China.
Lili WangDepartment of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Jiexian DuDepartment of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China. dujiexian2009@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiant ovarian cysts (GOCs)complicated with progressive bulbar paralysis (PBP) are very rare, and no such literature about these cases have been reported. Through the diagnosis and treatment of this case, the perioperative related treatment of such patients was analyzed in detail, and early-stage ovarian mucinous carcinoma was unexpectedly found during the treatment, which provided reference for clinical diagnosis and treatment of this kind of diseases. CASE PRESENTATION: In this article, we reported a 38-year-old female patient. The patient was diagnosed with PBP 2 years ago. Examination revealed a large fluid-dominated cystic solid mass in the pelvis measuring approximately 28.6×14.2×8.0 cm. Carbohydrate antigen19-9(CA19-9) 29.20 IU/mL and no other significant abnormalities were observed. The patient eventually underwent transabdominal right adnexal resection under regional anesthesia, epidural block. Postoperative pathology showed mucinous carcinoma in some areas of the right ovary. The patient was staged as stage IA, and surveillance was chosen. With postoperative follow-up 1 month later, her CA19-9 decreased to 14.50 IU/ml.

conclusionsGOCs combined with PBP patients require a multi-disciplinary treatment. Preoperative evaluation of the patient's PBP progression, selection of the surgical approach in relation to the patient's fertility requirements, the nature of the ovarian cyst and systemic condition are required. Early mucinous ovarian cancer accidentally discovered after operation and needs individualized treatment according to the guidelines and the patient's situation. The patient's dysphagia and respiratory function should be closely monitored during the perioperative period. In addition, moral support from the family is also very important.

Indexed as

Adenocarcinoma, MucinousOvarian NeoplasmsAdultFemaleHumansNeoplasm StagingOvarian CystsPerioperative CareCase reportGiant ovarian cysts (GOCs)Multi-disciplinary treatment (MDT)Perioperative managementProgressive bulbar paralysis (PBP)

Identifiers

PMID38704534
PMCPMC11069129

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.