فهرست نشریات علمی دسترسی آزاد ایران

Large adnexal cystic masses, particularly in elderly patients, pose significant diagnostic and therapeuticchallenges. In this report, we present the case of a 71-year-old woman with a complex 10-kg adnexal cysticmass suspected to be either cystadenoma or cystadenocarcinoma. The patient experienced progressiveabdominal pain, distention, dyspnea, and functional impairments such as difficulty walking and sleeping overa six-month period. Laboratory tests revealed a marked elevation of tumor markers CA-125 and CA-19-9,supporting the suspicion of malignancy. Abdominopelvic CT scan confirmed the presence of a large septatedcystic mass extending into the upper abdomen. The patient underwent total abdominal hysterectomy withbilateral oophorectomy, and the 10-kg mass was successfully excised without complications. Postoperatively,she was referred to an oncologist for additional evaluation and further management. This case highlights theimportance of early diagnosis, meticulous surgical planning, and multidisciplinary management of largeadnexal masses.