Radiation Diagnosis of Serous Carcioneoma of the Ovary of Enormous Size in a Patient of Postmenopausal Age (Clinical Case)

DOI: 10.47026/2413-4864-2023-1-108-117

UDC: 618.11-006.6-022.56-073.75:618.173-052-055.2
BBC: Р569.715.2.9-436

Diomidova V.N., Safonova M.A., Starostina T.V., Vazanov A.A., Glyakin D.S.

Radiation Diagnosis of Serous Carcioneoma of the Ovary of Enormous Size in a Patient of Postmenopausal Age (Clinical Case)

Keywords: ovary, cancer, serous carcinoma, ultrasound diagnostics, radiation diagnostics

Topicality. Among the tumors of the female genital organs, ovarian cancer is considered one of the most common. Due to the lack of a specific clinical picture at an early stage, in more than half of cases there is a delayed detection of ovarian cancer. In view of this, an urgent problem in oncogynecology remains the timely diagnosis of ovarian cancer. The purpose of the work is to demonstrate the complexity and untimely diagnosis of ovarian cancer on the example of the presented clinical case of primary radiation diagnosis of serous ovarian carcinoma of enormous size in a postmenopausal patient. Outcomes. The article reflects some experience of domestic and foreign researchers, where the reasons that explain the late diagnosis of ovarian cancer are studied. A case from clinical practice with an analysis of the development of the clinical picture of the disease, the tactics of patient management is presented. This clinical example is an example of a belated diagnosis of ovarian cancer in a postmenopausal patient. Unfortunately, in this situation, at the time of the initial diagnosis of ovarian cancer, the tumor already had a huge size, probably because of this, the clinical picture of the disease and the objective assessment of the patient's condition were regarded erroneously. Conclusion. The analysis of this clinical example convincingly indicates that only the implementation of a complete algorithm for the complex use of anamnestic, laboratory (including tumor markers), instrumental (primarily radiation diagnostic methods, such as ultrasound, computed tomography) and other diagnostic methods is the basis for the timely diagnosis of ovarian cancer.

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About authors

Diomidova Valentina N.: Doctor of Medical Sciences, Professor, Head of the Department of Propaedeutics of Internal Diseases with a Course of Radiation Diagnostics, Chuvash State University; Head of the Department of Ultrasound Diagnostics, City Clinical Hospital № 1, Russia, Cheboksary (diomidovavn@rambler.ru; ORCID: https://orcid.org/0000-0002-3627-7971)

Safonova Marina A.: Candidate of Medical Sciences, Associate Professor, Department of Propaedeutics of Internal Diseases with a Course of Radiology, Chuvash State University; Head of X-ray Diagnostics Department, Republican Clinical Oncology Dispensary, Russia, Cheboksary (safmaran@yandex.ru; ORCID: https://orcid.org/0000-0002-8578-6449)

Starostina Tatyana V.: Head of the Polyclinic Department, Oncologist, Republican Clinical Oncology Dispensary, Russia, Cheboksary (rkod-pol-zav@med.cap.ru; )

Vazanov Andrey A.: Candidate of Medical Sciences, Associate Professor of the Department of General Surgery and Oncology, Chuvash State University; Deputy Chief Physician for Medical Department, Oncologist, Republican Clinical Oncology Dispensary, Russia, Cheboksary (andvaz@mail.ru; ORCID: https://orcid.org/0000-0002-8530-4876)

Glyakin Dmitry S.: Head of the Oncology Department No. 5, Oncologist, Republican Clinical Oncology Dispensary, Russia, Cheboksary (gds16@mail.ru; )

Article link

Diomidova V.N., Safonova M.A., Starostina T.V., Vazanov A.A., Glyakin D.S. Radiation Diagnosis of Serous Carcioneoma of the Ovary of Enormous Size in a Patient of Postmenopausal Age (Clinical Case) [Electronic resource] // Acta medica Eurasica. – 2023. – №1. P. 108-117. – URL: https://acta-medica-eurasica.ru/en/single/2023/1/13/. DOI: 10.47026/2413-4864-2023-1-108-117.

Single article

Diomidova V.N., Safonova M.A., Starostina T.V., Vazanov A.A., Glyakin D.S.