Laparoscopic Excision of Ovarian Remnants: Retrospective Cohort Study with Long-term Follow-up

Arden, D.; Lee, Ted

doi:10.1016/j.jmig.2010.12.002

Cited by 12 publications

(7 citation statements)

References 6 publications

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“…The pharmacological approach is geared toward suppression of ovarian function and includes oral contraceptives, danazol, and GnRH analogs. A recent study used GnRH in a patient without success, which confirms the limited application of the medical approach [3]. Radiation therapy has also been used as a therapeutic approach.…”

Section: Discussionmentioning

confidence: 94%

“…Pain can also be due to hormonal stimulation ectopic endometriotic implants. In premenopausal patients in whom oophorectomy is performed unilaterally, the manifestation of pain alone often triggers suspicion [3].…”

Section: Discussionmentioning

confidence: 99%

“…Surgery can be performed by laparotomy, laparoscopy or robotics [5]. The minimally invasive approach has been the most frequently used, as shown by recent studies with the aim of reducing the morbidity associated with laparotomy [3] [5] [8] [9]. However, all the authors emphasize the difficulties of this, due to the surgical history and the modification of the anatomical relationships, with a significant risk of visceral complications, involving the digestive and urinary systems, and vascular complications.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

Cyrille¹,

Annick²,

Anthony³

et al. 2023

OJOG

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Ovarian Remnant syndrome (ORS) is the presence of residual ovarian tissue after an oophorectomy was performed whether associated with a hysterectomy or not. We report the case of a 39-year-old woman with a past surgical history of total abdominal hysterectomy and left salpingo-oophorectomy with an indication of placenta accreta incidentally discovered during a caesarian section. The patient presented with pelvic pain and was diagnosed with ORS. She was successfully managed by laparoscopy with removal of the cyst and the surrounding ovarian tissue, confirmed by histopathological analysis. The post operative period was uneventful, and the patient was discharged after 2 days of good evolution. In our context, surgery remains the main treatment option, however, other treatment options including radiotherapy or medical management need to be considered as either adjunct or main therapy.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

Cyrille¹,

Annick²,

Anthony³

et al. 2023

OJOG

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“…Benign serous neoplasia arising from persistent ovarian remnants has been documented in 5 cases (Table I) (10,15). These studies highlight the neoplastic potential of ovarian remnants and further discuss the available data on the risk of malignant transformation, as spontaneous resolution of a neoplasm is unlikely and there is evidence for malignant transformation of certain benign serous tumors.…”

Section: Histological Typesmentioning

confidence: 99%

“…Ovarian remnant syndrome (ORS) is defined as locating histologically-confirmed ovarian cortical tissue during explorative surgery in a female patient who had previously undergone bilateral salpingo-oophorectomy (BSO) and now presented with a pelvic mass or pain (1–10). ORS usually occurs as a result of incomplete tissue removal.…”

Section: Introductionmentioning

confidence: 99%

Malignant neoplasia arising from ovarian remnants following bilateral salpingo-oophorectomy (Review)

2014

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Ovarian remnant syndrome (ORS) is a rare, but well-known gynecological complication, most often induced by difficult bilateral salpingo-oophorectomy (BSO) procedures that leave residual ovarian tissue on the pelvic wall. The most common preexisting conditions for this complication include endometriosis, pelvic inflammatory disease and prior abdominal surgery. The residual ovarian tissue may eventually cause malignant development. A total of 12 cases of malignant and benign tumors (clear cell adenocarcinoma in 1 case, mucinous-type tumors in 2, endometrioid-type tumors in 5, adenocarcinoma in 3 and border serous neoplasia in 1) and 21 benign cysts developing from an ovarian remnant have been described in the literature to date. Endometriosis, known to increase the risk of ovarian cancer, predisposes patients to ORS, with an incidence rate of 30 to 50% in ORS patients with ovarian carcinoma. Although the true incidence of ORS remains unknown, when endometriotic adhesions are diagnosed during BSO, the possibility of ORS and subsequent ovarian malignant transformation may mandate complete surgical resection.

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Ovarian remnant syndrome: a retrospective evaluation of surgical management

et al. 2016

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Laparoscopic Excision of Ovarian Remnants: Retrospective Cohort Study with Long-term Follow-up

Cited by 12 publications

References 6 publications

A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

Malignant neoplasia arising from ovarian remnants following bilateral salpingo-oophorectomy (Review)

Ovarian remnant syndrome: a retrospective evaluation of surgical management

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