Huge Symptomatic Brenner Tumour Simulating Uterine Fibroid: A Case Report
Keywords:
Huge, Symptomatic Brenner Tumour, Uterine fibroidAbstract
Background: Brenner tumours are rare ovarian neoplasms which are frequently so small and symptomless as to be incidental findings at laparotomies for other conditions. The occurrence of a huge symptomatic Brenner tumour is even rarer in our environment. Our objective is to report a case of huge symptomatic Brenner tumour in a -67 year old post-menopausal woman and to alert practicing Gynaecologists that though rare, this condition still occurs and to re-emphasize the need for proper and routine histological examination of all surgical specimens.
Method: The case note of the patient who presented at the gynaecology clinic of the University of Port-Harcourt Teaching Hospital with 15 years history of abdominal swelling and pain and repeated ultrasound scan diagnosis of multiple uterine fibroids and managed in our centre, was retrieved and studied. Literature on the subject was also reviewed using available journals and online resources.
Results: The patient had exploratory laparotmy, total abdominal hysterectomy and bilateral salpingo-ovariectomy. Intraoperative findings were clean peritoneal cavity, a hard, 15 cm diameter irregular right ovarian mass, slightly bulky uterus with 3cm long cervix, normal tubes and left ovary. The ovarian mass was confirmed histologically as benign Brenner tumour. She did remarkably well post-operatively and had since been discharged from the gynaecology clinic.
Conclusion: This case illustrates that even rarer huge symptomatic Brenner tumours still occur in our environment. Practicing Gynaecologists should be aware of this condition and the need for properReferences
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