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手术治疗的良性附件肿块的临床和组织学特征

Clinical and histological profile of surgically managed benign adnexal masses.

作者信息

Gowri Vaidyanathan, Al Shukri Maryam, Al Khaduri Maha, Machado Lovina

机构信息

Department of Obstetrics & Gynecology, Sultan Qaboos University Hospital, Muscat, P.O. Box 38, PC 123, Sultanate of Oman.

出版信息

Oman Med J. 2014 May;29(3):239-41. doi: 10.5001/omj.2014.59.

DOI:10.5001/omj.2014.59
PMID:24936279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4052399/
Abstract

OBJECTIVE

To study the clinical and histological nature of benign adnexal masses managed surgically.

METHODS

A retrospective descriptive study in a teaching hospital in Oman of all the women who had surgical management of benign adnexal masses from January 2008 to May 2012. Data pertaining to age, parity, presenting symptoms, imaging and tumor markers performed and the surgical intervention done on those women with benign adnexal masses was collected from the electronic health records of the patients.

RESULTS

There were 198 women during this period operated for benign adnexal masses. The most common benign neoplasm was mature teratoma of the ovary followed by endometriosis. Conservative surgery in the form of ovarian cystectomy was necessary in three fourths of women and in about just less than 50% of women, the procedure was completed laparoscopically.

CONCLUSION

The most common benign tumor was teratoma but laparoscopic approach, which is the standard of care in these women, was possible only in just about 50% of the women.

摘要

目的

研究经手术治疗的良性附件肿块的临床及组织学特征。

方法

在阿曼一家教学医院进行一项回顾性描述性研究,纳入2008年1月至2012年5月期间接受手术治疗的所有良性附件肿块女性患者。从患者的电子健康记录中收集有关年龄、产次、症状表现、影像学检查及肿瘤标志物检测情况,以及对这些患有良性附件肿块女性所进行的手术干预等数据。

结果

在此期间,有198名女性因良性附件肿块接受手术。最常见的良性肿瘤是卵巢成熟畸胎瘤,其次是子宫内膜异位症。四分之三的女性需要进行卵巢囊肿切除术这种保守性手术,约不到50%的女性通过腹腔镜完成该手术。

结论

最常见的良性肿瘤是畸胎瘤,但腹腔镜手术作为这些女性的标准治疗方法,仅适用于约50%的女性。

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Largest Serous Cystadenoma in the first Trimester treated Laparoscopically: A Case Report.孕早期腹腔镜治疗最大浆液性囊腺瘤:一例报告
Oman Med J. 2012 Jan;27(1):e030. doi: 10.5001/omj.2012.19.
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Retrospective evaluation of tumor markers in ovarian mature cystic teratoma and ovarian endometrioma.卵巢成熟性囊性畸胎瘤和卵巢子宫内膜异位症中肿瘤标志物的回顾性评估。
J Obstet Gynaecol Res. 2012 Aug;38(8):1071-6. doi: 10.1111/j.1447-0756.2011.01833.x. Epub 2012 May 8.
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Histopathological pattern of ovarian neoplasms and their age distribution in the western region of Saudi Arabia.沙特阿拉伯西部地区卵巢肿瘤的组织病理学模式及其年龄分布。
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Laparoscopy versus laparotomy for benign ovarian tumour.腹腔镜手术与剖腹手术治疗良性卵巢肿瘤的比较
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CA19-9 may have clinical significance in mature cystic teratomas of the ovary.CA19-9在卵巢成熟囊性畸胎瘤中可能具有临床意义。
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CA125 and endometriosis.CA125与子宫内膜异位症。
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