Global Journal of Medical Research, E: Gynecology and Obstetrics, Volume 21 Issue 3

Tumor markers- ca 125 – 10.2 u / ml, LDH- 325 U/L, CEA – 1.9, beta hcg – 5.4, AFP – 13. On 10/3/2021- Patient underwent exploratory laparotomy with total abdominal hysterectomy with bilateral salphingectomy with bilateral oophorectomy. Pt withstood the procedure well. post operatively patient was well. Histopathological report- sex cord stromal tumor, fibrothecoma. CASE 4 A 42 years old Parity 3, Living 3 with a huge mass in abdomen and pain in abdomen on and off since 1 year. on per abdomen examination a cystic mass of 10 x 15 cm in hypogastric region extending from umbilicus to lower abdomen, regular margins, mobility+, non tender. On per speculum examination, cervix was taken up. On per vaginum examination, a 22 weeks mass felt, cystic in consistency with mass covering the right iliac fossa, extending upto umbilicus, right fornix obliterated. On 1/2/2021– Ultrasound (A+P) suggestive of 17 x 21 22 cms complex solid cystic lesion with septations, likely arising from ovary, likely malignant etiology. Tumor marker were sent, B hcg 0.1, CA19.9- 2.6, CEA 1.1, AFP 1.37, CA 125-1 On 20/3/2021, exploratory laparotomy with retroperitoneal mass excision with Total Abdominal mass excision with B/L salpingo-oophorectomy. Histopathology report suggestive of Spindle cell tumor with differential diagnosis being- 1. Low grade Fiboromyxoid Sarcoma, 2. PEComa, 3. Lymphangioeliomyomatosis 7 Year 2021 Global Journal of Medical Research Volume XXI Issue III Version I ( D ) E © 2021 Global Journals A Study of Giant Ovarian Tumors Presenting with Higher Incidence of Torsion: A Journey of my Experience in Covid-19 Pandemic at Tertiary Care Centre