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Intermittent percutaneous drainage of ovarian tumour
  1. Kiyofumi Oya1,
  2. Yusuke Kuboyama2 and
  3. Hideyuki Kashiwagi1
  1. 1Department of Transitional and Palliative Care, Iizuka Hospital, Iizuka, Japan
  2. 2Department of Anatomic Pathology, Pathological Sciences, Kyushu University Faculty of Medicine Graduate School of Medical Science, Fukuoka, Japan
  1. Correspondence to Dr Kiyofumi Oya, Department of Transitional and Palliative Care, Iizuka Hospital, Iizuka 820-8505, Japan; 4joekin5{at}gmail.com

Abstract

Introduction Abdominal pain and distention are common in ovarian tumours. When the ovarian tumour grows too large, the tumour can cause these symptoms. Percutaneous drainage from ovarian tumours, which can alleviate symptoms, is traditionally discouraged for its potential risk of peritoneal tumour seeding.

Case A 73-year-old woman with a multilocular ovarian tumour reporting abdominal fullness and pain was referred to the palliative care outpatient department. The multilocular tumour occupied most of the intra-abdominal space, which was determined to cause her symptoms. To alleviate her symptoms, we performed intermittent percutaneous drainage for 1.5 years. A clinical autopsy revealed the tumour was an ovarian mucinous carcinoma. Despite iterative tumour drainage, we observed no feature of peritoneal dissemination.

Conclusion Intermittent percutaneous drainage of ovarian tumours could reduce tumour-related abdominal symptoms without pathological evidence of peritoneal dissemination. This procedure can be a new palliative treatment option for ovarian tumour-related abdominal symptoms.

  • hospice care
  • genitourinary
  • terminal care
  • end-of-life care
  • symptoms and symptom management

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Footnotes

  • Twitter @K5Sejoe

  • Contributors KO wrote this manuscript with support from YK and HK. YK performed the clinical autopsy of this case and clarified pathological evidence of the report. HK supervised and critically reviewed the full manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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