| Laparoscopic surgery for complex ovarian masses. | |
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MedLine Citation:
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PMID: 10924632 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To assess the value of laparoscopy in managing complex ovarian masses. DESIGN: Retrospective, observational analysis (Canadian Task Force classification II-2). SETTING: University-based, tertiary level center for endoscopic surgery. PATIENTS: Two hundred eleven consecutive women. INTERVENTIONS: Laparoscopic surgery including ovary-preserving surgery, salpingo-oophorectomy, adhesiolysis, and pelvic lymphadenectomy. MEASUREMENTS AND MAIN RESULTS: Patients were selected on the basis of preoperative ultrasound findings. Intraoperative appearance of the tumors as well as results from frozen section examinations were compared with histologic results. Two hundred sixteen pelvic masses were benign. In 10 patients, early ovarian cancer, borderline tumors, tubal cancer, or secondary ovarian, nongynecologic pathology was managed primarily by laparoscopy and confirmed histologically. Three of these 10 women underwent standard radical open surgery within 1 week. The true nature of masses was not recognized at the time of laparoscopy in three patients with malignant findings. Patients with malignant tumors were followed for 5 years. CONCLUSION: Although most complex ovarian masses can be managed by laparoscopy, the possibility of overlooking malignancy remains, even with frozen section examination. Whether or not laparoscopy compromises clinical outcome compared with laparotomy is not fully understood. Prospective studies to address this important clinical question are urgently needed. |
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Authors:
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U Ulrich; W Paulus; A Schneider; J Keckstein |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the American Association of Gynecologic Laparoscopists Volume: 7 ISSN: 1074-3804 ISO Abbreviation: J Am Assoc Gynecol Laparosc Publication Date: 2000 Aug |
Date Detail:
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Created Date: 2000-10-19 Completed Date: 2000-10-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9417443 Medline TA: J Am Assoc Gynecol Laparosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 373-80 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Bonn School of Medicine, Sigmund Freud Strasse 25, 53105 Bonn, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Feasibility Studies Female Humans Laparoscopy* Middle Aged Ovarian Diseases / surgery* Ovarian Neoplasms / surgery* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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