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Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy
The aim of this study was to assess the efficacy and safety of laparoscopic treatment for adnexal cystic masses that were predicted to be benign in postmenopausal women. Postmenopausal women found to have an adnexal cystic mass were retrospectively evaluated with transvaginal ultrasonography, and se...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Academy of Medical Sciences
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2782205/ https://www.ncbi.nlm.nih.gov/pubmed/15953871 http://dx.doi.org/10.3346/jkms.2005.20.3.468 |
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author | Lee, Jeong-Won Kim, Chul Jung Lee, Ji Eun Lee, Sun-Joo Kim, Byoung-Gie Lee, Je-Ho Bae, Duk-Soo Park, Chang-Soo |
author_facet | Lee, Jeong-Won Kim, Chul Jung Lee, Ji Eun Lee, Sun-Joo Kim, Byoung-Gie Lee, Je-Ho Bae, Duk-Soo Park, Chang-Soo |
author_sort | Lee, Jeong-Won |
collection | PubMed |
description | The aim of this study was to assess the efficacy and safety of laparoscopic treatment for adnexal cystic masses that were predicted to be benign in postmenopausal women. Postmenopausal women found to have an adnexal cystic mass were retrospectively evaluated with transvaginal ultrasonography, and serum CA-125 levels. The selection criteria were adnexal cystic masses greater than 3 cm but less than 10 cm, the masses were in the benign range (4-8) of Sassone's scoring system for transvaginal ultrasonography, and the patients had serum CA-125 levels less than 65 IU/mL. Two hundred nineteen women fulfilled the criteria and underwent operative laparoscopy. Almost all the masses (99.5%) were accurately predicted to be benign except for one borderline ovarian tumor. Two hundreds thirteen (97.3%) women were successfully managed by operative laparoscopy and six (2.7%) required laparotomy. For the patients managed by laparoscopy, the mean operative time was 51.3 min; the mean hospital stay was 2.5 days. There was no significant morbidity and surgery-related mortality. The combination of the Sassone's scoring system for transvaginal ultrasonography and serum CA-125 level can accurately predict benign cystic masses, and operative laparoscopy is technically feasible and safe for the management of adnexal mass in postmenopausal women. |
format | Text |
id | pubmed-2782205 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-27822052009-11-30 Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy Lee, Jeong-Won Kim, Chul Jung Lee, Ji Eun Lee, Sun-Joo Kim, Byoung-Gie Lee, Je-Ho Bae, Duk-Soo Park, Chang-Soo J Korean Med Sci Original Article The aim of this study was to assess the efficacy and safety of laparoscopic treatment for adnexal cystic masses that were predicted to be benign in postmenopausal women. Postmenopausal women found to have an adnexal cystic mass were retrospectively evaluated with transvaginal ultrasonography, and serum CA-125 levels. The selection criteria were adnexal cystic masses greater than 3 cm but less than 10 cm, the masses were in the benign range (4-8) of Sassone's scoring system for transvaginal ultrasonography, and the patients had serum CA-125 levels less than 65 IU/mL. Two hundred nineteen women fulfilled the criteria and underwent operative laparoscopy. Almost all the masses (99.5%) were accurately predicted to be benign except for one borderline ovarian tumor. Two hundreds thirteen (97.3%) women were successfully managed by operative laparoscopy and six (2.7%) required laparotomy. For the patients managed by laparoscopy, the mean operative time was 51.3 min; the mean hospital stay was 2.5 days. There was no significant morbidity and surgery-related mortality. The combination of the Sassone's scoring system for transvaginal ultrasonography and serum CA-125 level can accurately predict benign cystic masses, and operative laparoscopy is technically feasible and safe for the management of adnexal mass in postmenopausal women. The Korean Academy of Medical Sciences 2005-06 2005-06-30 /pmc/articles/PMC2782205/ /pubmed/15953871 http://dx.doi.org/10.3346/jkms.2005.20.3.468 Text en Copyright © 2005 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Jeong-Won Kim, Chul Jung Lee, Ji Eun Lee, Sun-Joo Kim, Byoung-Gie Lee, Je-Ho Bae, Duk-Soo Park, Chang-Soo Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title | Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title_full | Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title_fullStr | Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title_full_unstemmed | Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title_short | Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy |
title_sort | selected adnexal cystic masses in postmenopausal women can be safely managed by laparoscopy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2782205/ https://www.ncbi.nlm.nih.gov/pubmed/15953871 http://dx.doi.org/10.3346/jkms.2005.20.3.468 |
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