Laparoscopic management of ovarian tumors |
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Authors: | E Malik W Böhm F Stoz C D Nitsch W G Rossmanith |
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Institution: | (1) Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstr. 43, D-89070 Ulm, Germany, DE |
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Abstract: | Background: Laparoscopy can be used with minimal operative morbidity to evaluate adnexal masses. We report our experience with the endoscopic
approach to the diagnosis and treatment of ovarian tumors. In particular, we describe 11 patients who incidentally underwent
laparoscopy and in whom the ovarian masses were found to be malignant.
Methods: Between September 1994 and September 1996, 292 patients with 316 ovarian tumors were treated laparoscopically in the Department
of Obstetrics–Gynaecology, University of Ulm. We assessed vaginal ultrasonography, clinical assessment, the tumor marker CA
12-5, and the intraoperative low-power magnification for their value in predicting the final diagnosis in all laparoscopically
treated ovarian tumors.
Results: From a total of 292 patients with ovarian tumors, 11 were diagnosed, intraoperatively or after final histologic examination,
as having a malignant or borderline ovarian tumor. All applied pre- and intraoperative diagnostic procedures were by themselves
too unreliable to exclude early stages of ovarian carcinoma exactly.
Conclusions: On the basis of the present findings, we are tempted to conclude that laparoscopic surgery is justified in the management
of ovarian tumors. Even with an accurate preoperative selection of suitable patients for laparoscopic surgery, the presence
of an undetected ovarian carcinoma cannot be entirely excluded.
Received: 23 September 1997/Accepted: 4 December 1997 |
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Keywords: | : Laparoscopy — Ovarian tumors — Ovarian carcinoma — Borderline tumors — Vaginal ultrasound |
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