Authors: E Malik W Böhm F Stoz C D Nitsch W G Rossmanith
Publish Date: 2014/04/02
Volume: 12, Issue: 11, Pages: 1326-1333
Abstract
Background Laparoscopy can be used with minimal operative morbidity to evaluate adnexal masses We report our experience with the endoscopic approach to the diagnosis and treatment of ovarian tumors In particular we describe 11 patients who incidentally underwent laparoscopy and in whom the ovarian masses were found to be malignantMethods Between September 1994 and September 1996 292 patients with 316 ovarian tumors were treated laparoscopically in the Department of Obstetrics–Gynaecology University of Ulm We assessed vaginal ultrasonography clinical assessment the tumor marker CA 125 and the intraoperative lowpower magnification for their value in predicting the final diagnosis in all laparoscopically treated ovarian tumorsResults From a total of 292 patients with ovarian tumors 11 were diagnosed intraoperatively or after final histologic examination as having a malignant or borderline ovarian tumor All applied pre and intraoperative diagnostic procedures were by themselves too unreliable to exclude early stages of ovarian carcinoma exactlyConclusions On the basis of the present findings we are tempted to conclude that laparoscopic surgery is justified in the management of ovarian tumors Even with an accurate preoperative selection of suitable patients for laparoscopic surgery the presence of an undetected ovarian carcinoma cannot be entirely excluded
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