An Elderly Postmenopausal Hormone Receptor Negative Breast Cancer Survivor Lady with a Giant Serous Cyst Adenoma of Ovary: A Case Report

Abstract

We are presenting a case of a 62-year old postmenopausal lady who had been treated for a triple negative left breast cancer at the age of 53 years and she was presented to our clinic with huge left adnexal mass at the age of 62 years. Cyst adenoma is a benign serous ovarian tumor.  Huge size ovarian cystadenoma is a rare entity in elderly women. They account for about 58% of all ovarian serous tumors and about 25% of benign ovarian neoplasms. A 62-year old postmenopausal woman with Eastern Cooperative Oncology Group Performance Status 1 (ECOG) was referred from a community hospital to our clinic. There was no lymphadenopathy at neck, supraclavicular and inguinal region. Her general examination and systemic examination except abdominal examination was unremarkable.The clinical presentation of these tumors is variable. Sometimes there may be short term period to attend a giant size and sometimes it may take longer duration to attend such sizes. The common presentation of such tumors are abdominal distension, diffuse abdominal pain, anorexia, mechanical discomfort. The positive association with breast cancer and giant ovarian cyst has been reported in few case studies. Hormone receptor positive premenopausal breast cancer patients who are on tamoxifen and still having menstrual cycle are prone to develop giant ovarian cyst. It is a rare condition and it requires through clinical, radiological and biochemical evaluation with definitive planned management as when it becomes massive it would be lethal for the patient.