Evidence mapPaperPMID 39493789Full record

ArticleClinical case reports2024

46-kg abdominal tumor misdiagnosed as obesity: Unveiling healthcare bias due to obesity stigma.

Giacomo Calini, Matteo Rottoli, Antonietta D'Errico, Gilberto Poggioli

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Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Giacomo CaliniSurgery of the Alimentary Tract IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.ORCID https://orcid.org/0000-0002-7460-9578
Matteo RottoliSurgery of the Alimentary Tract IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.ORCID https://orcid.org/0000-0003-0278-4139
Antonietta D'ErricoDepartment of Medical and Surgical Sciences (DIMEC) Alma Mater Studiorum University of Bologna Bologna Italy.ORCID https://orcid.org/0000-0003-2747-3732
Gilberto PoggioliSurgery of the Alimentary Tract IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.ORCID https://orcid.org/0000-0002-4309-7311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Obesity results in higher risk of some cancers while obesity stigma affect patient's quality of care. In this case report, a 46 kg ovary mass was misdiagnosed as severe obesity. Obesity stigma awareness and a sustained effort from healthcare professionals are required to deliver adequate patient care to patients with obesity. Abstract: Obesity is a disease associated with an increased risk of cardiovascular diseases, diabetes, musculoskeletal disorders, and some cancers. Obesity stigma affect patients and healthcare professionals leading to mistrust, poor adherence, noncompliance to screening, and misdiagnosis. We reported a case report of a patient sent to our referral center for surgical evaluation of long-standing severe obesity (BMI 59). Physical examination was significant for abdominal obesity with a hard consistency, but no cushingoid dysmorphism or lipodystrophy. No abdominal pain, pelvic pain, vaginal bleeding, or change in bowel movements were present. Tumor markers were normal except for an elevated Ca 19.9. Imaging showed a large, intraperitoneal abdominal mass with no metastatic disease. The patient underwent surgery to remove a 46-kg complex ovarian cystic mass (circumference: 160 cm, diameter: 67 cm), full of liquid and with six nodular areas. The mass was entirely extracted with an intact capsule. The cystic mass resulted in a well-differentiated intestinal-type adenocarcinoma with microinvasive foci, an endophytic borderline area (sec. WHO 2014), and mucinous-cystic areas with no atypia. The patient had postoperative bilateral basal pleural effusion resolved with conservative treatment and was discharged at home on postoperative day 12 with an uneventful 90-day postoperative follow-up. In the present case report, a 46 kg ovary mass was misdiagnosed as severe obesity, and the patient was referred for bariatric evaluation. Unveiling biases related to obesity stigma is the first step to ensuring better patient care. Obesity stigma awareness and a sustained effort from healthcare professionals are required to deliver adequate patient care to patients with obesity.

Indexed as

case reportobesityovarian tumorstigma

Identifiers

PMID39493789
PMCPMC11530353

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.