Unexpected ovarian malignancy following laparoscopic excision of adnexal masses

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Unexpected ovarian malignancy following laparoscopic excision of adnexal masses.

STUDY QUESTION What are the frequency of, and the prognosis for, ovarian malignancies among patients who have undergone laparoscopic surgery for an adnexal mass? SUMMARY ANSWER The rate of unexpected ovarian malignancy resected by laparoscopy was 1.5%, and the presence of an early-stage unexpected ovarian malignancy did not alter patient prognosis. WHAT IS KNOWN ALREADY Even when laparoscop...

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Unexpected Ovarian Malignancy Found after Laparoscopic Surgery in Patients with Adnexal Masses –a Single Institutional Experience–

Laparoscopy has become the standard surgery for the treatment of benign ovarian tumors. The aim of this study was to evaluate the appropriateness of laparoscopy for ovarian tumors, including those with malignant potential. A total of 487 patients with adnexal masses underwent laparoscopic surgery in Social Insurance Chukyo Hospital from January 2000 to December 2012. We reviewed 471 cases that ...

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preoperative evaluation of risk of ovarian malignancy algorithm index in prediction of malignancy of adnexal masses

results: the only significant difference was the older age of the malignant group vs. benign group (p = 0.001) regarding demographic findings. as concerns the clinical symptoms, presence of abdominal discomfort in pre-diagnosis period was the only significant parameter in malignant group (p = 0.001). additionally, data analysis of patients as a total group showed that specificity (96.4%), posit...

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Preoperative Evaluation of Risk of Ovarian Malignancy Algorithm Index in Prediction of Malignancy of Adnexal Masses

BACKGROUND Differentiation between benign and malignant ovarian neoplasms is essential to create a system for patient referrals. OBJECTIVES The aim of the present prospective trial was to analyze the value of the risk of ovarian malignancy algorithm (ROMA) in prediction of adnexal masses malignancy in pre- and post-menopause women before operation. MATERIALS AND METHODS Preoperative serum s...

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Laparoscopic Management of Adnexal Masses

BACKGROUND AND OBJECTIVE Although laparoscopic surgery for removal of adnexal masses is common, controversy exists about the safety and efficacy of this procedure for patients with malignancies. The aim of this study was to evaluate the effectiveness and safety of laparoscopic surgical treatment for patients with adnexal masses. METHODS This was a retrospective chart review of one surgeon's e...

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ژورنال

عنوان ژورنال: Human Reproduction

سال: 2014

ISSN: 0268-1161,1460-2350

DOI: 10.1093/humrep/deu162