Managing Adnexal Masses: A Medical Quandary
Introduction: Management of Adnexal masses poses a double edged problem. There is a dilemma of performing extensive surgery in the form of staging laparotomy for a benign disease on one hand and the lurking fear of missing the diagnosis of malignancy on the other. Thus, it seems that it is impor...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2013-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/3372/39-%206243_E(%20_%20)_PF1(%20_%20)_F(H)_PF1(VH)_PFA(NC)_OLF1.pdf |
| _version_ | 1818613697391624192 |
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| author | Surender Mohan Garima Kapoor Praveen Kumar Nagpal Raju Aggarwal Neha Gami |
| author_facet | Surender Mohan Garima Kapoor Praveen Kumar Nagpal Raju Aggarwal Neha Gami |
| author_sort | Surender Mohan |
| collection | DOAJ |
| description | Introduction: Management of Adnexal masses poses a double
edged problem. There is a dilemma of performing extensive
surgery in the form of staging laparotomy for a benign disease
on one hand and the lurking fear of missing the diagnosis of
malignancy on the other. Thus, it seems that it is important to
establish risk profiles of all patients with adnexal masses so that
they can reap the benefit of minimally invasive surgery wherever
possible and be rightly subjected to staging laparotomy where
indicated.
Material and Methods: This prospective study was carried out
at a Tertiary care Hospital. 136 women with an adnexal mass
on ultrasound which met the said criteria were enrolled into the
study from January 2008 to July 2011. They were then taken up
for laparoscopic management.
Results: All but 2 cases were found to be benign (134/136) after
the final histopathology report using the said criteria.
Conclusion: Hence, by using simple readily available
investigations like ultrasound (pattern recognition approach,
Tumour morphology and ascites) and CA–125, the nature of
adnexal mass can be reliably predicted and these patients can
be safely offered the benefits of laparoscopic surgery. |
| first_indexed | 2024-12-16T16:06:14Z |
| format | Article |
| id | doaj.art-21112f6c263646c78ecb720386eb6496 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-16T16:06:14Z |
| publishDate | 2013-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-21112f6c263646c78ecb720386eb64962022-12-21T22:25:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-09-01791971197410.7860/JCDR/2013/6243.3372Managing Adnexal Masses: A Medical QuandarySurender Mohan0Garima Kapoor1Praveen Kumar Nagpal2Raju Aggarwal3Neha Gami4Commandant, Military Hospital, Dehradun, India.Assistant Professor, Obstetrics & Gynaecology, Vardhmman Mahavir Medical College & Safdarjang Hospital, New Delhi- 110029, India.Consultant & Head of the Department, Obstetrics & Gynaecology, Command Hospital, Lucknow, Uttar Pradesh, India.Senior Advisor, Assistant Professor, Obstetrics & Gynaecology, Armed Forces Medical College, Pune, India.Assistant Professor, Obstetrics & Gynaecology, University College of Medical Sciences, New Delhi, India.Introduction: Management of Adnexal masses poses a double edged problem. There is a dilemma of performing extensive surgery in the form of staging laparotomy for a benign disease on one hand and the lurking fear of missing the diagnosis of malignancy on the other. Thus, it seems that it is important to establish risk profiles of all patients with adnexal masses so that they can reap the benefit of minimally invasive surgery wherever possible and be rightly subjected to staging laparotomy where indicated. Material and Methods: This prospective study was carried out at a Tertiary care Hospital. 136 women with an adnexal mass on ultrasound which met the said criteria were enrolled into the study from January 2008 to July 2011. They were then taken up for laparoscopic management. Results: All but 2 cases were found to be benign (134/136) after the final histopathology report using the said criteria. Conclusion: Hence, by using simple readily available investigations like ultrasound (pattern recognition approach, Tumour morphology and ascites) and CA–125, the nature of adnexal mass can be reliably predicted and these patients can be safely offered the benefits of laparoscopic surgery.https://jcdr.net/articles/PDF/3372/39-%206243_E(%20_%20)_PF1(%20_%20)_F(H)_PF1(VH)_PFA(NC)_OLF1.pdflaparoscopicadnexal massmanagementbenign |
| spellingShingle | Surender Mohan Garima Kapoor Praveen Kumar Nagpal Raju Aggarwal Neha Gami Managing Adnexal Masses: A Medical Quandary Journal of Clinical and Diagnostic Research laparoscopic adnexal mass management benign |
| title | Managing Adnexal Masses: A Medical Quandary |
| title_full | Managing Adnexal Masses: A Medical Quandary |
| title_fullStr | Managing Adnexal Masses: A Medical Quandary |
| title_full_unstemmed | Managing Adnexal Masses: A Medical Quandary |
| title_short | Managing Adnexal Masses: A Medical Quandary |
| title_sort | managing adnexal masses a medical quandary |
| topic | laparoscopic adnexal mass management benign |
| url | https://jcdr.net/articles/PDF/3372/39-%206243_E(%20_%20)_PF1(%20_%20)_F(H)_PF1(VH)_PFA(NC)_OLF1.pdf |
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