Unexpected ovarian malignancy after conservative laparoscopic surgery: five case series in a half decade of experience
Aims To analyse and describe cases of unexpected ovarian malignancy after conservative laparoscopic surgery for an apparent benign ovarian mass at our centre. Methods This retrospective study was performed by collecting data from records of premenopausal women who underwent conservative lap...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Springer Verlag
2012
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/1/fulltext.pdf |
| Summary: | Aims
To analyse and describe cases of unexpected
ovarian malignancy after conservative laparoscopic surgery
for an apparent benign ovarian mass at our centre.
Methods
This retrospective study was performed by
collecting data from records of premenopausal women who
underwent conservative laparoscopic surgery for benign
ovarian mass at Siriraj Hospital over a 5 year period from
2006 to 2010. The rate of unexpected malignancy, histopathological type of the ovarian neoplasm and follow-up
after surgery were reviewed.
Results
During the study period, 1,161 patients underwent conservative laparoscopic surgery. Of these, five
(0.43%) had ovarian malignancy which were diagnosed
after reviewing histopathological report postoperatively.
The histopathological diagnosis was borderline tumour in
two patients, clear cell carcinoma, granulosa cell tumour
and mucinous cell adenocarcinoma in the other three
patients. All patients are alive after a mean follow-up of
9–60 months with two patients developed recurrence.
Conclusion
The main concern for laparoscopic management of ovarian masses is unexpected malignancy. However, with careful patient selection, proper technique and
an experienced operator, laparoscopic treatment of ovarian
masses is the best approach and should be implemented,
with low risk of unexpected malignancy and recurrence.
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