Assessment on Cases Operated Due to Postmenopausal Adnexal Masses
OBJECTIVE: The objective was to evaluate the clinical traits, as well as preoperative and postoperative histopathologic findings of patients who are operated due to adnexal mass during postmenopausal period. STUDY DESIGN: Our study incorporates 204 patients who were operated at our hospital due to a...
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| Format: | Article |
| Language: | English |
| Published: |
Medical Network
2012-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
| Subjects: | |
| Online Access: | http://gorm.com.tr/index.php/GORM/article/view/264 |
| _version_ | 1797911328381206528 |
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| author | Aslı İriş Demet Aydoğan Kırmızı Cüneyt Eftal Taner Elif Üstünay |
| author_facet | Aslı İriş Demet Aydoğan Kırmızı Cüneyt Eftal Taner Elif Üstünay |
| author_sort | Aslı İriş |
| collection | DOAJ |
| description | OBJECTIVE: The objective was to evaluate the clinical traits, as well as preoperative and postoperative histopathologic findings of patients who are operated due to adnexal mass during postmenopausal period.
STUDY DESIGN: Our study incorporates 204 patients who were operated at our hospital due to adnexal masses during postmenopausal period. Clinical details (age, parity, personal and family history, oral contraceptive and smoking status) of all patients are recorded. Measurement of serum ca 125 values and trans-vaginal or trans-abdominal ultrasonography findings are recorded, as well as morphological features of each adnexal mass. The tissue material removed in operation was analyzed in histopathologic terms. Preoperative findings are compared with histopathologic diagnosis.
RESULTS: According to pathologic examinations, the results for 76.5% of 204 patients (n=156) operated due to postmenopausal adnexal mass were benign, whereas the remaining 48 patients (23.5%) had malign results. The most common pathological examination result in the patients was serous cystadenoma (n=62; %30.4) (p<0.05). In malign cases, serous adenocarcinoma was encountered the most (n=24; %50.1) (p<0.05). The analyses on adnexal masses which are evaluated via preoperative ultrasonography showed that cyst diameter, its capsule thickness and - if any - septa thickness was more common in malign cases. In addition, multilobulation, the septa formation, papillary formation, semisolid
formation, the presence of bilaterality and ascites were more common in masses in malign group (p<0.05). Average ca 125 level was 27.9 IU/ml and 699.6 IU/ml (p<0.05) in benign and malign groups, respectively.
CONCLUSION: Serum ca 125 levels and TVUSG are useful diagnostic procedures in evaluating especially postmenopausal adnexal masses, however, the definitive diagnosis regarding adnexal masses should be made via histopathologic analysis. |
| first_indexed | 2024-04-10T11:39:51Z |
| format | Article |
| id | doaj.art-a1bad0ad8c92455fb0c5d013416cb48e |
| institution | Directory Open Access Journal |
| issn | 1300-4751 |
| language | English |
| last_indexed | 2024-04-10T11:39:51Z |
| publishDate | 2012-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj.art-a1bad0ad8c92455fb0c5d013416cb48e2023-02-15T16:17:36ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512012-12-01183196Assessment on Cases Operated Due to Postmenopausal Adnexal MassesAslı İriş0Demet Aydoğan Kırmızı1Cüneyt Eftal Taner2Elif Üstünay3Şebinkarahisar State Hospital, GiresunMuradiye State Hospital, VanEge Maternity and Gynecology Training and Research Hospi tal, İzmirAfyon Kocatepe University- Faculty of Medicine, AfyonOBJECTIVE: The objective was to evaluate the clinical traits, as well as preoperative and postoperative histopathologic findings of patients who are operated due to adnexal mass during postmenopausal period. STUDY DESIGN: Our study incorporates 204 patients who were operated at our hospital due to adnexal masses during postmenopausal period. Clinical details (age, parity, personal and family history, oral contraceptive and smoking status) of all patients are recorded. Measurement of serum ca 125 values and trans-vaginal or trans-abdominal ultrasonography findings are recorded, as well as morphological features of each adnexal mass. The tissue material removed in operation was analyzed in histopathologic terms. Preoperative findings are compared with histopathologic diagnosis. RESULTS: According to pathologic examinations, the results for 76.5% of 204 patients (n=156) operated due to postmenopausal adnexal mass were benign, whereas the remaining 48 patients (23.5%) had malign results. The most common pathological examination result in the patients was serous cystadenoma (n=62; %30.4) (p<0.05). In malign cases, serous adenocarcinoma was encountered the most (n=24; %50.1) (p<0.05). The analyses on adnexal masses which are evaluated via preoperative ultrasonography showed that cyst diameter, its capsule thickness and - if any - septa thickness was more common in malign cases. In addition, multilobulation, the septa formation, papillary formation, semisolid formation, the presence of bilaterality and ascites were more common in masses in malign group (p<0.05). Average ca 125 level was 27.9 IU/ml and 699.6 IU/ml (p<0.05) in benign and malign groups, respectively. CONCLUSION: Serum ca 125 levels and TVUSG are useful diagnostic procedures in evaluating especially postmenopausal adnexal masses, however, the definitive diagnosis regarding adnexal masses should be made via histopathologic analysis.http://gorm.com.tr/index.php/GORM/article/view/264Postmenopause, Adnexal mass |
| spellingShingle | Aslı İriş Demet Aydoğan Kırmızı Cüneyt Eftal Taner Elif Üstünay Assessment on Cases Operated Due to Postmenopausal Adnexal Masses Gynecology Obstetrics & Reproductive Medicine Postmenopause, Adnexal mass |
| title | Assessment on Cases Operated Due to Postmenopausal Adnexal Masses |
| title_full | Assessment on Cases Operated Due to Postmenopausal Adnexal Masses |
| title_fullStr | Assessment on Cases Operated Due to Postmenopausal Adnexal Masses |
| title_full_unstemmed | Assessment on Cases Operated Due to Postmenopausal Adnexal Masses |
| title_short | Assessment on Cases Operated Due to Postmenopausal Adnexal Masses |
| title_sort | assessment on cases operated due to postmenopausal adnexal masses |
| topic | Postmenopause, Adnexal mass |
| url | http://gorm.com.tr/index.php/GORM/article/view/264 |
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