Huge ovarian endometrioma that grew after menopause: Case report

Takashi Matsushima, T Matsushima, Asakura H, Hirobumi Asakura
Journal of Obstetrics and Gynaecology Research · 2016 · vol. 42(3) , pp. 350–352 · doi:10.1111/jog.12885 · PMID:26786790 · W2421040430
article OA: closed CC0 ⤵ 15 in-corpus citations
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A large ovarian endometrioma weighing 12 kg, diagnosed in a postmenopausal woman with normal estradiol levels, highlights the possibility of postmenopausal endometrioma development even without hormone therapy.

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Abstract

Endometriomas occur in women of reproductive age and are rare after menopause. A 56-year-old gravida 3 para 2 woman complained of abdominal fullness that had gradually worsened over approximately one year (i.e. 5 years postmenopause). Diagnostic imaging revealed a cystic lesion that extended to just below the diaphragm. An ovarian cystoma of low malignancy was suspected. The preoperative blood test indicated normal estradiol levels at 12.6 pg/mL. She underwent bilateral adnexectomy and total hysterectomy. The appendages on the affected (i.e. right) side weighed approximately 12 kg. An ovarian endometrioma with benign pathology was diagnosed. Postmenopausal endometrioma can occur even in patients with normal postmenopausal estradiol values who are not receiving exogenous hormones. These patients require careful follow-up.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Neoplasms Endometriosis Female Humans Middle Aged Ovarian Neoplasms Postmenopause

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (21)

Cited by (14)

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