A 43-year-old female
Chief Complaint:- Abdominal enlargement and lower abdominal pain.
History:- 3 children, normal menstrual periods, no bowel or bladder complaints.
Symptoms:- Noticeable abdominal enlargement 3 months prior to seeking treatment, along with lower abdominal pain.
Physical Exam:- unilocular cystic mass with a diameter of >25 cm and a solid nodule.
Diagnosis via Ultrasound:- a large cystic mass with a solid nodule.
Key Findings: -->Large Tumor ->mass weighed 9700 grams and measured 30x28x14 cm.
Late Presentation:- The patient noticed the abdominal enlargement only 3 months prior to seeking treatment.
What can be the differential diagnosis??
**What can be the treatment and management for this Patient ??**