Laparoscopic excision of ovarian neoplasms subsequently found to be malignant

Maiman, Mitchell; Seltzer, Vicki; Boyce, J

doi:10.1016/0020-7292(92)90067-s

Cited by 62 publications

(91 citation statements)

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“…In the Maiman et al survey, regardless of patient age, 42 such cases were reported [4]. With the careful selection of the patients in our survey, the diagnosis was suspected in one of the two borderline tumors before laparoscopic surgery, and the patient underwent exploratory laparotomy for accurate staging.…”

Section: Discussionmentioning

confidence: 88%

“…Large, growing, solid or multilocular masses with pelvic pain require surgical evaluation [3]. Laparoscopic surgery remains the most common treatment for such cases because it allows definitive diagnosis and treatment [4]. This paper will examine the incidence of true ovarian neoplasm and the impact of acute pelvic pain in adolescent girls with an adnexal mass.…”

Section: Introductionmentioning

confidence: 99%

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Adnexal masses in adolescent girls with pelvic pain: Report on 63 cases

et al. 2007

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To improve clinical appreciation of these lesions, we reviewed the presentation, evaluation, outcome, and therapeutic aspects of painful adnexal masses in adolescent females. During the period January 2005-September 2006, 63 adolescent females with painful adnexal masses were recruited. The patient management and outcomes were documented. The mean age was 15.36±1.6 years, and the mean diameter of the masses was 54.5±1.3 mm. Forty-nine patients (77.7%) underwent surgical management, and 45 of the 49 surgeries were achieved by laparoscopic surgery (91.8%). Two converting laparotomies (4%) were performed. Fourteen patients with a presumed functional cyst were followed up without surgery. Postoperative histopathologic evaluation revealed a benign epithelial ovarian cyst rate of 26.5%, a mature cystic teratoma rate of 22.4%, and a borderline ovarian tumor rate of 4.08%. Non-neoplastic adnexal lesions were encountered in surgeries of 22 cases. The incidence of acute ovarian torsion and true ovarian neoplasm was 9.52% and 55.1%, respectively, and none was malignant. True ovarian neoplasia remains a common indication for surgery in the majority of adolescents. Because most cases are benign, minimal access surgery should be performed whenever feasible.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Adnexal masses in adolescent girls with pelvic pain: Report on 63 cases

et al. 2007

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“…Maiman et a l [9] found that 31 % of laparoscopically removed ovar ian tumors considered to be benign were subsequently found to be malignant. Recently, the development of an abdominal wall metastasis after laparoscopic removal of a borderline ovarian tumor has been described [10].…”

Section: Discussionmentioning

confidence: 99%

Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women With Ovarian Cancer

Kruitwagen

Swinkels

Keyser

et al. 1996

Obstetrical & Gynecological Survey

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The aim of this retrospective study was to examine the incidence and prognostic significance of abdominal wall metastases in pa tients with ovarian cancer present at the primary debulking at the entry sites of previous laparoscopy or paracentesis. The clinical records of 219 patients were studied. In 7 of 43 patients (16%) who had undergone laparoscopy and 3 of 30 patients (10%) who had undergone paracentesis previous to the primary debulking, an abdominal wall metastasis had developed at the entry sites. All metastases occurred in patients with FIG O stage IIIC -IV including ascites. Survival analysis using the Cox proportional hazards model showed that after adjustment for age, FIG O stage3 histology, grade, ascites, and residual disease after primary de bulking, the presence of abdominal wall metastases in the entry sites of previous laparoscopy or paracentesis was negatively, al though not statistical significantly, correlated with survival (P = 0.14).

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“…Apesar do aprimoramento dos métodos de diagnóstico pré-operatório e intra-operatório, continuam sendo relatados casos de massas anexiais abordadas por laparoscopia e que subseqüentemente se revelaram malignas. Entre quatro e seis massas anexiais em cada 1000 casos com aparência intra-operatória totalmente benigna, são na verdade tumores malignos [31][32][33] . Devem ser ressaltados ainda dois pontos: o primeiro é que o atraso em realizar o tratamento definitivo em caso de tumores malignos pode piorar o prognóstico 34 e, segundo que, embora não sendo consenso, a ruptura intra-operatória de tumores malignos tem efeito negativo sobre o seu prognóstico 35 .…”

Section: Massas Anexiais Assintomáticasunclassified

Rastreamento e diagnóstico das neoplasias de ovário: papel dos marcadores tumorais

Reis¹

2005

Rev. Bras. Ginecol. Obstet.

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222Rev Bras Ginecol Obstet. 2005; 27(4): 222-7 Revisão RESUMO O câncer de ovário é a neoplasia ginecológica mais letal e a sobrevida global é inferior a 40% em cinco anos. Isto ocorre principalmente porque a maioria das pacientes apresenta estadios avançados no momento do diagnóstico. Nestes casos as opções terapêuticas -citorredução e quimioterapia -são apenas parcialmente efetivas. Quando diagnosticado precocemente, por outro lado, a sobrevida em cinco anos é superior a 90% e a cirurgia geralmente é o único tratamento necessário. No entanto, em função da baixa prevalência do câncer de ovário na população, mesmo testes muito específicos produzem altas taxas de resultados falso-positivos e aumento de intervenções cirúrgicas para abordar massas anexiais assintomáticas. Com base nestes fatos, é essencial a busca de métodos e estratégias para se detectar estes tumores em estádios iniciais e ao mesmo tempo evitar intervenções desnecessárias. Neste artigo são revisadas as bases e as possíveis conseqüências de estratégias para a detecção precoce dos tumores ovarianos. São discutidos os principais métodos disponíveis e os resultados de alguns estudos com este objetivo. PALAVRAS-CHAVE:Neoplasias ovarianas/diagnóstico; Marcadores biológicos de tumor; Antígeno Ca-125 ABSTRACTOvarian cancer is the most letal gynecologic tumor, the 5-year survival is less than 40%. The main reason is the advanced stage at the moment of the diagnosis. In these cases the therapeutic options, citorreductive surgery and chemotherapy, are not completely effective. On the other hand, 5-year survival for early stage ovarian cancer is higher than 90%, and most of the times the surgery is the only treatment needed. However, because of the low prevalence of ovarian cancer in the general population, even tests with high specificity present many false positive results and eventually an increase in surgical procedures to investigate asymptomatic adnexal masses. Based on these facts the search for methods and strategies to diagnose early stage ovarian cancer and at the same time to avoid unnecessary surgical interventions are essential. In this article, the bases and possible consequences of strategies for ovarian cancer screening were reviewed. The most important methods avaliable and the results of some trials are evaluated. KEYWORDS:Ovarian neoplasms/diagnosis; Tumor makers, biological; CA-125 antigen Introdução O câncer de ovário é a sexta neoplasia maligna mais freqüente e a quarta causa de morte por câncer em mulheres nos Estados Unidos. Para 2004 eram esperados 25580 novos casos, com 16090 óbitos 1 . Os dados de prevalência acumulada ao longo da vida, desde o nascimento até 85 anos de idade, mostram que a probabilidade de ocorrência do câncer de ovário é de 1,5% 2 . A sobrevida global é apenas 30-40% em cinco anos. Isto ocorre em parte porque a maioria das pacientes tem a doença diagnosticada em estadios avança-dos, situação em que as opções de tratamento são restritas a cirurgia citorredutora e a quimioterapia baseada nos derivados da platina. Es...

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Laparoscopic excision of ovarian neoplasms subsequently found to be malignant

Cited by 62 publications

References 0 publications

Adnexal masses in adolescent girls with pelvic pain: Report on 63 cases

Adnexal masses in adolescent girls with pelvic pain: Report on 63 cases

Incidence and Effect on Survival of Abdominal Wall Metastases at Trocar or Puncture Sites Following Laparoscopy or Paracentesis in Women With Ovarian Cancer

Rastreamento e diagnóstico das neoplasias de ovário: papel dos marcadores tumorais

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