{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:18:46Z","timestamp":1787170726803,"version":"build-2736575974"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T00:00:00Z","timestamp":1714780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T00:00:00Z","timestamp":1714780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Giant ovarian cysts (GOCs)complicated with progressive bulbar paralysis (PBP) are very rare, and no such literature about these cases have been reported. Through the diagnosis and treatment of this case, the perioperative related treatment of such patients was analyzed in detail, and early-stage ovarian mucinous carcinoma was unexpectedly found during the treatment, which provided reference for clinical diagnosis and treatment of this kind of diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>In this article, we reported a 38-year-old female patient. The patient was diagnosed with PBP 2 years ago. Examination revealed a large fluid-dominated cystic solid mass in the pelvis measuring approximately 28.6\u00d714.2\u00d78.0 cm. Carbohydrate antigen19-9(CA19-9) 29.20 IU\/mL and no other significant abnormalities were observed. The patient eventually underwent transabdominal right adnexal resection under regional anesthesia, epidural block. Postoperative pathology showed mucinous carcinoma in some areas of the right ovary. The patient was staged as stage IA, and surveillance was chosen. With postoperative follow-up 1 month later, her CA19-9 decreased to 14.50 IU\/ml.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GOCs combined with PBP patients require a multi-disciplinary treatment. Preoperative evaluation of the patient's PBP progression, selection of the surgical approach in relation to the patient's fertility requirements, the nature of the ovarian cyst and systemic condition are required. Early mucinous ovarian cancer accidentally discovered after operation and needs individualized treatment according to the guidelines and the patient's situation. The patient's dysphagia and respiratory function should be closely monitored during the perioperative period. In addition, moral support from the family is also very important.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12905-024-03117-9","type":"journal-article","created":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T05:01:43Z","timestamp":1714798903000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perioperative management of a patient with unexpectedly detected early-stage ovarian mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature review"],"prefix":"10.1186","volume":"24","author":[{"given":"Dingbei","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruibo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Huo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengfang","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Xi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiexian","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,4]]},"reference":[{"key":"3117_CR1","doi-asserted-by":"crossref","unstructured":"Jiang, L., Zhao, X., Han, Y., Liu, K., Meng, X. J. F. i. o., Giant Ovarian Cysts Treated by Single-Port Laparoscopic Surgery: A Case Series. 2021;11:796330.","DOI":"10.3389\/fonc.2021.796330"},{"issue":"11","key":"3117_CR2","doi-asserted-by":"publisher","first-page":"2818","DOI":"10.3390\/ijms20112818","volume":"20","author":"MAJ van den Bos","year":"2019","unstructured":"van den Bos MAJ, Geevasinga N, Higashihara M, Menon P, Vucic S. Pathophysiology and Diagnosis of ALS: Insights from Advances in Neurophysiological Techniques. Int J Mol Sci. 2019;20(11):2818.","journal-title":"Int J Mol Sci"},{"issue":"13","key":"3117_CR3","doi-asserted-by":"publisher","first-page":"3210","DOI":"10.3390\/cancers14133210","volume":"14","author":"E Reiser","year":"2022","unstructured":"Reiser E, Pils D, Grimm C, Hoffmann I, Polterauer S, Kranawetter M, Aust S. Defining Models to Classify between Benign and Malignant Adnexal Masses Using Routine Laboratory Parameters. Cancers. 2022;14(13):3210.","journal-title":"Cancers."},{"key":"3117_CR4","doi-asserted-by":"crossref","unstructured":"Timmerman, D.; Planchamp, F.; Bourne, T.; Landolfo, C.; du Bois, A.; Chiva, L.; Cibula, D.; Concin, N.; Fischerova, D.; Froyman, W.; Gallardo Madue\u00f1o, G.; Lemley, B.; Loft, A.; Mereu, L.; Morice, P.; Querleu, D.; Testa, A.; Vergote, I.; Vandecaveye, V.; Scambia, G.; Fotopoulou, C. J. I. j. o. g. c. o. j. o. t. I. G. C. S. ESGO\/ISUOG\/IOTA\/ESGE Consensus Statement on pre-operative diagnosis of ovarian tumors. 2021;31(7):961-982.","DOI":"10.1136\/ijgc-2021-002565"},{"issue":"2","key":"3117_CR5","doi-asserted-by":"publisher","first-page":"156","DOI":"10.4274\/balkanmedj.2016.0223","volume":"34","author":"ZN Dolgun","year":"2017","unstructured":"Dolgun ZN, Kabaca C, Karateke A, Iyibozkurt C, Inan C, Altintas AS, Karadag C. The Use of Human Epididymis 4 and Cancer Antigen 125 Tumor Markers in the Benign or Malignant Differential Diagnosis of Pelvic or Adnexal Masses. Balkan Med J. 2017;34(2):156\u201362.","journal-title":"Balkan Med J"},{"key":"3117_CR6","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.cca.2015.03.047","volume":"446","author":"T Granato","year":"2015","unstructured":"Granato T, Porpora MG, Longo F, Angeloni A, Manganaro L, Anastasi E. HE4 in the differential diagnosis of ovarian masses. Clin Chim Acta. 2015;446:147\u201355.","journal-title":"Clin Chim Acta"},{"issue":"8","key":"3117_CR7","doi-asserted-by":"publisher","first-page":"a024117","DOI":"10.1101\/cshperspect.a024117","volume":"7","author":"LI Grad","year":"2017","unstructured":"Grad LI, Rouleau GA, Ravits J, Cashman NR. Clinical Spectrum of Amyotrophic Lateral Sclerosis (ALS). Cold Spring Harb Perspect Med. 2017;7(8).","journal-title":"Cold Spring Harb Perspect Med"},{"key":"3117_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.neubiorev.2019.12.032","volume":"111","author":"JP Rosa Silva","year":"2020","unstructured":"Rosa Silva JP, Santiago Junior JB, Dos Santos EL, de Carvalho FO, de Franca Costa IMP, Mendonca DMF. Quality of life and functional independence in amyotrophic lateral sclerosis: A systematic review. Neurosci Biobehav Rev. 2020;111:1\u201311.","journal-title":"Neurosci Biobehav Rev"},{"issue":"6","key":"3117_CR9","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1136\/jnnp-2013-305770","volume":"85","author":"S Pinto","year":"2014","unstructured":"Pinto S, Swash M, de Carvalho M. Does surgery accelerate progression of amyotrophic lateral sclerosis? J Neurol Neurosurg Psychiatry. 2014;85(6):643\u20136.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"11","key":"3117_CR10","doi-asserted-by":"publisher","first-page":"1216","DOI":"10.23736\/S0375-9393.17.11996-6","volume":"83","author":"J Gu","year":"2017","unstructured":"Gu J, Lin X. Anesthesia and postoperative analgesia for a patient with amyotrophic lateral sclerosis. Minerva Anestesiol. 2017;83(11):1216\u20137.","journal-title":"Minerva Anestesiol"},{"key":"3117_CR11","doi-asserted-by":"crossref","unstructured":"Kock-Cordeiro D., Brusse, E., van den Biggelaar R., Eggink, A., van der Marel C. J. I. j. o. o. a., Combined spinal-epidural anesthesia with non-invasive ventilation during cesarean delivery of a woman with a recent diagnosis of amyotrophic lateral sclerosis. 2018;36:108-110.","DOI":"10.1016\/j.ijoa.2018.06.001"},{"issue":"7","key":"3117_CR12","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1161\/CIRCULATIONAHA.116.023262","volume":"135","author":"TM Atkinson","year":"2017","unstructured":"Atkinson TM, Giraud GD, Togioka BM, Jones DB, Cigarroa JE. Cardiovascular and Ventilatory Consequences of Laparoscopic Surgery. Circulation. 2017;135(7):700\u201310.","journal-title":"Circulation"},{"issue":"7","key":"3117_CR13","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1161\/CIRCULATIONAHA.116.023262","volume":"135","author":"T Atkinson","year":"2017","unstructured":"Atkinson T, Giraud G, Togioka B, Jones D, Cigarroa JJC. Cardiovascular and Ventilatory Consequences of Laparoscopic Surgery. Circulation. 2017;135(7):700\u201310.","journal-title":"Circulation"},{"key":"3117_CR14","doi-asserted-by":"crossref","unstructured":"Van Damme L., De Waele J. J. C. c. Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis. Crit Care. 2018;22(1):179.","DOI":"10.1186\/s13054-018-2103-0"},{"issue":"5","key":"3117_CR15","first-page":"CD006981","volume":"5","author":"E James","year":"2022","unstructured":"James E, Ellis C, Brassington R, Sathasivam S, Young CA. Treatment for sialorrhea (excessive saliva) in people with motor neuron disease\/amyotrophic lateral sclerosis. Cochrane Database Syst Rev. 2022;5(5):CD006981.","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"3117_CR16","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.ygyno.2018.08.025","volume":"151","author":"M Lycke","year":"2018","unstructured":"Lycke M, Kristjansdottir B, Sundfeldt K. A multicenter clinical trial validating the performance of HE4, CA125, risk of ovarian malignancy algorithm and risk of malignancy index. Gynecol Oncol. 2018;151(1):159\u201365.","journal-title":"Gynecol Oncol"},{"issue":"1","key":"3117_CR17","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1016\/j.clnu.2017.09.003","volume":"37","author":"R Burgos","year":"2018","unstructured":"Burgos R, Breton I, Cereda E, Desport JC, Dziewas R, Genton L, Gomes F, Jesus P, Leischker A, Muscaritoli M, Poulia KA, Preiser JC, Van der Marck M, Wirth R, Singer P, Bischoff SC. ESPEN guideline clinical nutrition in neurology. Clin Nutr. 2018;37(1):354\u201396.","journal-title":"Clin Nutr"},{"issue":"1","key":"3117_CR18","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12904-019-0433-6","volume":"18","author":"AA Seeber","year":"2019","unstructured":"Seeber AA, Pols AJ, Hijdra A, Grupstra HF, Willems DL, de Visser M. Advance care planning in progressive neurological diseases: lessons from ALS. BMC Palliat Care. 2019;18(1):50.","journal-title":"BMC Palliat Care"},{"key":"3117_CR19","doi-asserted-by":"crossref","unstructured":"Brent, J. R., Franz C. K., Coleman J. M., 3rd; Ajroud-Driss, S., ALS: Management Problems. Neurol Clin 2020;38(3)565-575.","DOI":"10.1016\/j.ncl.2020.03.013"},{"key":"3117_CR20","doi-asserted-by":"crossref","unstructured":"Armstrong D. K., Alvarez R. D., Bakkum-Gamez J. N., Barroilhet L., Behbakht K., Berchuck A., Chen L. M., Cristea M., DeRosa M., Eisenhauer E. L., Gershenson D. M., Gray H. J., Grisham R., Hakam A., Jain A., Karam A., Konecny G. E., Leath C. A., Liu J., Mahdi H., Martin L., Matei D., McHale M., McLean K., Miller D. S, O'Malley D. M. Percac-Lima, S., Ratner E, Remmenga S. W., Vargas, R., Werner T. L., Zsiros, E., Burns, J. L., Engh, A. M., Ovarian Cancer, Version 2.2020, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2021;19 (2):191-226.","DOI":"10.6004\/jnccn.2021.0007"},{"issue":"2","key":"3117_CR21","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1016\/j.ygyno.2015.09.010","volume":"139","author":"E Lokich","year":"2015","unstructured":"Lokich E, Palisoul M, Romano N, Craig Miller M, Robison K, Stuckey A, DiSilvestro P, Mathews C, Granai CO, Lambert-Messerlian G, Moore RG. Assessing the risk of ovarian malignancy algorithm for the conservative management of women with a pelvic mass. Gynecol Oncol. 2015;139(2):248\u201352.","journal-title":"Gynecol Oncol"},{"issue":"1","key":"3117_CR22","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1136\/ijgc-2020-001817","volume":"31","author":"QD Heyward","year":"2021","unstructured":"Heyward QD, Nasioudis D, Cory L, Haggerty AF, Ko EM, Latif N. Lymphadenectomy for early-stage mucinous ovarian carcinoma. Int J Gynecol Cancer. 2021;31(1):104\u20139.","journal-title":"Int J Gynecol Cancer"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03117-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-024-03117-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03117-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T05:02:50Z","timestamp":1714798970000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-024-03117-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,4]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3117"],"URL":"https:\/\/doi.org\/10.1186\/s12905-024-03117-9","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,4]]},"assertion":[{"value":"19 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Approved by the Research Ethics Committee of the Second Hospital of Hebei Medical University. Reference number is 2022-R771. The informed consent of the patients involved in the article has been obtained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Patients included in this article agree that the relevant information included is for publication. Informed consent to publish this information was obtained from study participant.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"274"}}