Adnexal masses requiring reoperation in women with previous hysterectomy with or without adnexectomy

Shiber, Linda-Dalal J.; Gregory, Emily J.; Gaskins, Jeremy; Biscette, Shan

doi:10.1016/j.ejogrb.2016.02.043

Cited by 9 publications

(15 citation statements)

References 15 publications

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“…Managing pelvic masses, which may result from benign or malignant conditions of gynecologic and non-gynecologic diseases, is routine daily practice for outpatient clinic gynecologists. However, due to its rarity, large-sized pelvic tumors that reach the upper abdomen may sometimes be confusing for physicians ( 1 , 2 ). The size of the adnexal mass is one of the important factors in making decisions for the clinical management, and therefore some indexes have to be taken into account ( 3 , 4 , 5 , 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Does size matter? Retrospective analysis of large gynecologic tumors

Öge¹,

Öztürk²,

Yalçın³

2017

J Turkish German Gynecol Assoc

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Objective:To evaluate the characteristics of patients who underwent surgery due to the presence of a large pelvic-abdominal mass over a 5-year period in a university clinic.Material and Methods:Among 3476 gynecologic operations, intraoperative findings were evaluated retrospectively. Uterine and/or adnexal masses smaller than 20 cm were excluded to refine “large” tumors and 74 patients with large tumors were enrolled in the study group. Demographic characteristics, intraoperative findings, and results of histopathologic examinations were recorded. Moreover, preoperative and intraoperative findings were compared among tumors with adnexal origin according to their final histopathologic results.Results:The mean age of the patients was 46 years. The most common symptom was abdominal pain, as recorded in 38 (51.4%) patients. Among all patients, 31 (41.9%) had coexisting illness and 13 (17.6%) had a history of surgery. The mean tumor diameter was 25.9±8.6 cm (20-60) and 60 (78.9%) tumors were of adnexal origin. The ratios of malignancy for large adnexal and uterine tumors were 34.4% and 12.5%, respectively. When the large adnexal tumors were re-evaluated, the mean cancer antigen (CA) 125 level was significantly higher, and ascites was more frequently detected in malignant tumors (p<0.01) then in benign and borderline tumors.Conclusion:Benign and borderline tumors are more common among large abdominopelvic masses, although the presence of ascites and elevated CA 125 may present malignancy in large gynecologic tumors. Further studies with larger sample sizes are needed to define the characteristics of large tumors and their malignant potentials.

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Section: Introductionmentioning

confidence: 99%

Does size matter? Retrospective analysis of large gynecologic tumors

Öge¹,

Öztürk²,

Yalçın³

2017

J Turkish German Gynecol Assoc

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“…Recently, Shiber et al (7) investigated adnexal masses requiring reoperation in women with previous hysterectomy with or without adnexectomy. They reported that the majority of adnexal masses requiring re-operation after hysterectomy were gynecologic in origin, benign, and arose from the ovary.…”

Section: Discussionmentioning

confidence: 99%

“…In accordance with this study, all lesions that were re-operated in our study were benign and mostly originating from the ovary. Apart from others, the study of Shiber et al (7) included a group of patients returning for surgery after hysterectomy and bilateral salpingectomy, although the number of patients was small. They argued that this small number of patients requiring re-operation after hysterectomy and bilateral salpingectomy might reflect a decreased risk for future surgery or may just indicate an insufficient time interval to evaluate the development of adnexal lesion.…”

Section: Discussionmentioning

confidence: 99%

“…There are a limited number of studies in the literature investigating adnexal lesions arising after hysterectomy (6,7,8,9,10,11,12,13,14). Within this scope, the aim of the study was to characterize adnexal lesions detected in patients who had undergone previous hysterectomy with one or both ovaries conserved, and to define the clinical, pathologic, and surgical characteristics of the adnexal lesions in these patients.…”

Section: Introductionmentioning

confidence: 99%

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Adnexal lesions after hysterectomy: A retrospective observational study

Öksüzoğlu

Özyer

Yörük

et al. 2019

J Turkish German Gynecol Assoc

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Objective:To characterize adnexal lesions detected in patients who had undergone previous hysterectomy with one or both ovaries conserved, and to define the clinical, pathologic, and surgical characteristics of the adnexal lesions in these patients.Material and Methods:A retrospective observational study was conducted on patients who had undergone a previous abdominal hysterectomy with one or both adnexa preserved and who had subsequently presented with an adnexal lesion. Characteristics of lesions, operative, and pathologic findings in patients who required a re-operation were noted.Results:One hundred thirty-seven patients presented with an adnexal lesion after hysterectomy. Of the 137 patients, 71 (51.8%) had undergone a re-operation (re-operated group), the rest of the patients (n=66, 48.1%) remained on follow-up (follow-up group) in whom the lesion disappeared during follow-up period. Adnexal lesions that were re-operated were significantly larger (p<0.001), more complicated (p=0.04), and had more septations (p=0.01) than in the follow-up group. The origin of the adnexal lesion was confirmed as the ovary in 59 (83%) patients, and as the peritoneum in 8 (11.2%) patients during surgery. All of the adnexal lesions arising after hysterectomy and required a re-operation were confirmed to be benign.Conclusion:Almost half of the lesions detected after hysterectomy disappeared during the follow-up period. The adnexal lesions that were re-operated were more symptomatic, larger, and had more complicated lesions. All lesions that were re-operated were found to be benign, mostly originating from the ovary.

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“…Many of them come back with varied problems including ovarian masses requiring surgical intervention. 1 Residual ovary syndrome is the condition in which an ovary that has previously been conserved, either develops an abnormal pathological process or causes symptoms necessitating its surgical removal. 2 Analysis of the histopathology of these ovarian masses will help us to review whether prophylactic oopherectomy will be beneficial in patients undergoing hysterectomy.…”

Section: Introductionmentioning

confidence: 99%