Quiste de ovario en paciente postmenopáusica: Reporte de Caso

Abstract

Background: Serous ovarian cystadenoma is a common tumor derived from the superficial celomic epithelium. It can be benign, of low malignant potential or invasive; the majority are benign tumors with thin walls and fluids that are usually unilocular or paucilocular; they represent 20% and 50% of all ovarian tumors. In perimenopausal and postmenopausal patients, the finding of an adnexal mass is considered abnormal and should be immediately investigated, as the risk of malignancy increases in postmenopausal women from 8-45%. Case presentation: A 47-year-old female patient with a history of hypertension complains of hypogastric pain persisting for two months, described as constant heaviness, moderate intensity, exacerbated by movement, physical exertion, and changes in position. A gynecological examination reveals a painful and mobile mass of approximately five centimeters in the left adnexa. Later that day, an ultrasound is performed, which reports an ovarian mass with clear borders and no internal or external excrescence. One week later, exploratory laparotomy and cystectomy are performed, with a positive histopathological report for serous cystadenoma measuring 5x5x4 cm. The patient's recovery was favorable, and she was discharged 48 hours later. Conclusions: Serous ovarian cystadenoma is a pathology and its definitive diagnosis is based on pathological anatomy. Treatment in postmenopausal women will be surgical (cystectomy or oophorectomy).