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Abstract: The patient in this case presented to our hospital with a sudden onset of vaginal bleeding after menopause in the absence of a causative factor, along with mild pain in the lower abdomen. By carefully questioning the patient and combining the relevant special examination results, the final diagnosis was ovarian plasmacytic cystadenoma. The patient was treated surgically, and after 2 months of outpatient review, the patient’s condition has basically stabilized, and there is no sign of recurrence.
Basic information】Female, 65 years old
Disease Type】Ovarian plasmacytic cystadenoma
Hospital】Shengjing Hospital of China Medical University
Date of consultation】July 2021
Treatment Plan】Surgical treatment (total hysterectomy, bilateral adnexal resection)
Treatment Period】2 weeks in hospital
Effectiveness】The patient’s symptoms have been cured
I. Initial consultation
After menopause, the patient suddenly developed vaginal bleeding without any cause, accompanied by slight pain in the lower abdomen. The patient reported that her appetite and sleep were normal, and she did not have any abdominal pain or weakness.
Through careful questioning, we learned that she had a history of hypertension, but her blood pressure is now under normal control through active oral medication. In order to further clarify the cause of vaginal bleeding, the patient was admitted to our department for treatment.
II. Treatment history
After a special gynecological examination, the results showed that the patient’s vagina was patent, without pressure or lifting pain, and a 5×4 cm mass was present in the patient’s left adnexal area. In order to further determine the cause of the abnormal bleeding, the patient was given relevant ultrasound examinations and finally diagnosed with ovarian plasmacytic cystadenoma by combining the patient’s symptoms and findings. The patient was informed of the specific situation, and considering that the patient was already 65 years old and had no fertility requirements, a radical surgery, i.e. total hysterectomy and bilateral adnexal resection, was recommended. The patient’s surgery went smoothly and the abdominal incision was removed 7 days after surgery and observed to be a grade A healing, and the patient was then discharged after being informed of postoperative precautions.
III. Treatment effect
On the day of surgery, the patient’s vital signs were observed to be stable, and the rest of the examination was not abnormal, and the patient was advised to pay more attention to rest. The pathological result 4 days after surgery showed that the patient had a plasmacytoma of the left ovary. The patient was rechecked 1 week after surgery and the results showed that there was no abnormal vaginal bleeding and the postoperative incision had recovered to grade A healing. At 2 months postoperatively, the patient’s outpatient follow-up showed that the results of all tests were basically within the normal range, as well as no signs of recurrence of the disease.
IV. Notes
I feel very relieved to see the patient’s symptoms gradually reduced, but still need to remind the patient to pay attention to some matters in daily life: 1.
1. Although there is no clear need to avoid food after surgery, patients still need to avoid eating greasy, spicy and irritating food such as chili and onion in the short term. It is recommended to consume more fresh vegetables, fruits, or high quality proteins, such as milk, soy products, eggs, etc.
2, daily it is recommended to develop a regular routine, including avoiding staying up late, overeating, and moderate physical exercise is recommended in life, which can increase their immunity.
3, it is recommended that patients can regularly go to the hospital for relevant examinations to monitor the endometrium for lesions, and try to achieve early detection and early treatment.
V. Personal insight
Ovarian plasmacytic cystadenoma is a common benign ovarian tumor. The cause of this disease is not very clear, but most of them think it is related to the patient’s own endocrine abnormality, and middle-aged and elderly women are the most common group. Although the patient trusted me before the operation, I could still feel the pressure, so I was very careful during the operation and completed the operation successfully, and gave a review after the operation, which showed that the patient recovered well.