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UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–

Laparoscopy has become the standard surgery for the treatment of benign ovarian tumors. The aim of this study was to evaluate the appropriateness of laparoscopy for ovarian tumors, including those with malignant potential. A total of 487 patients with adnexal masses underwent laparoscopic surgery in...

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Autores principales: SAITO, SHIGEKO, KAJIYAMA, HIROAKI, MIWA, YOKO, MIZUNO, MIKA, KIKKAWA, FUMITAKA, TANAKA, SHIHO, OKAMOTO, TOMOMITSU
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nagoya University 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345716/
https://www.ncbi.nlm.nih.gov/pubmed/25129994
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author SAITO, SHIGEKO
KAJIYAMA, HIROAKI
MIWA, YOKO
MIZUNO, MIKA
KIKKAWA, FUMITAKA
TANAKA, SHIHO
OKAMOTO, TOMOMITSU
author_facet SAITO, SHIGEKO
KAJIYAMA, HIROAKI
MIWA, YOKO
MIZUNO, MIKA
KIKKAWA, FUMITAKA
TANAKA, SHIHO
OKAMOTO, TOMOMITSU
author_sort SAITO, SHIGEKO
collection PubMed
description Laparoscopy has become the standard surgery for the treatment of benign ovarian tumors. The aim of this study was to evaluate the appropriateness of laparoscopy for ovarian tumors, including those with malignant potential. A total of 487 patients with adnexal masses underwent laparoscopic surgery in Social Insurance Chukyo Hospital from January 2000 to December 2012.We reviewed 471 cases that fulfilled the criteria set for this study, and examined 10 cases with unexpected ovarian malignancy to analyze their preoperative diagnosis, second surgery, postoperative chemotherapy, and prognosis. The ages of the 471 patients ranged from 13 to 50 years, with a median of 31. Nulliparous patients numbered 321(68.1%).Of all, 436 patients mostly consisted of those with endometrioma, benign ovarian neoplasm or functional cyst. In all, we histologically identified 10 women with malignancy: 6 with borderline ovarian tumors (BOT), 2 with ovarian cancer, and 2 with histologically rare tumors (immature teratoma and granulosa cell tumor). All patients with BOT were diagnosed with a mucinous histology. Two patients underwent both second radical surgery (hysterectomy and contra- or bilateral salpingo-oophorectomy) and chemotherapies that consisted of CBDCA and PTX or DTX. Thus, 2 patients underwent staging procedures, but the remaining 8 cases did not. None of them had evidence of recurrences. With accurate staging and careful postoperative follow-up, laparoscopic surgery could be a feasible initial operation for patients with adnexal masses including early-stage ovarian malignancy.
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spelling pubmed-43457162015-03-04 UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE– SAITO, SHIGEKO KAJIYAMA, HIROAKI MIWA, YOKO MIZUNO, MIKA KIKKAWA, FUMITAKA TANAKA, SHIHO OKAMOTO, TOMOMITSU Nagoya J Med Sci Original Paper Laparoscopy has become the standard surgery for the treatment of benign ovarian tumors. The aim of this study was to evaluate the appropriateness of laparoscopy for ovarian tumors, including those with malignant potential. A total of 487 patients with adnexal masses underwent laparoscopic surgery in Social Insurance Chukyo Hospital from January 2000 to December 2012.We reviewed 471 cases that fulfilled the criteria set for this study, and examined 10 cases with unexpected ovarian malignancy to analyze their preoperative diagnosis, second surgery, postoperative chemotherapy, and prognosis. The ages of the 471 patients ranged from 13 to 50 years, with a median of 31. Nulliparous patients numbered 321(68.1%).Of all, 436 patients mostly consisted of those with endometrioma, benign ovarian neoplasm or functional cyst. In all, we histologically identified 10 women with malignancy: 6 with borderline ovarian tumors (BOT), 2 with ovarian cancer, and 2 with histologically rare tumors (immature teratoma and granulosa cell tumor). All patients with BOT were diagnosed with a mucinous histology. Two patients underwent both second radical surgery (hysterectomy and contra- or bilateral salpingo-oophorectomy) and chemotherapies that consisted of CBDCA and PTX or DTX. Thus, 2 patients underwent staging procedures, but the remaining 8 cases did not. None of them had evidence of recurrences. With accurate staging and careful postoperative follow-up, laparoscopic surgery could be a feasible initial operation for patients with adnexal masses including early-stage ovarian malignancy. Nagoya University 2014-02 /pmc/articles/PMC4345716/ /pubmed/25129994 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
SAITO, SHIGEKO
KAJIYAMA, HIROAKI
MIWA, YOKO
MIZUNO, MIKA
KIKKAWA, FUMITAKA
TANAKA, SHIHO
OKAMOTO, TOMOMITSU
UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title_full UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title_fullStr UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title_full_unstemmed UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title_short UNEXPECTED OVARIAN MALIGNANCY FOUND AFTER LAPAROSCOPIC SURGERY IN PATIENTS WITH ADNEXAL MASSES –A SINGLE INSTITUTIONAL EXPERIENCE–
title_sort unexpected ovarian malignancy found after laparoscopic surgery in patients with adnexal masses –a single institutional experience–
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345716/
https://www.ncbi.nlm.nih.gov/pubmed/25129994
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