Abstract
Amaç: Bu çalışmada, kliniğimizde son 5 yılda opere edilen bordeline over
tümörlü vakaların değerlendirilmesi amaçlanmıştır.
Gereç ve
Yöntem: Çukurova Üniversitesi Tıp Fakültesi
Jinekolojik Onkoloji biriminde son 5 yıl içerisinde opere edilen borderline
over tümörlü olguların, patoloji raporları ve birimin bilgisayar kayıtları ile
arşiv dosyaları retrospektif bir şekilde tarandı. Toplam 41 vaka tespit edilip
çalışmaya dahil edildi. Olguların demografik karakteristikleri, preoperatif
muayene bulguları, operasyon ve patoloji özellikleri değerlendirildi.
Bulgular: Hastaların ortalama yaşı 41 idi ve %85’i premenopozal dönemde idi.
Preoperatif dönemde bakılan ultrasonda, tümörün ortalama çapı 10 cm olarak
ölçüldü. Operasyon öncesi ortalama ca125 değeri 120 olarak tespit edildi. Total
histerektomi + bilateral salpingooferektomi 12 hastaya uygulanırken, geri kalan
29 hastaya unilateral salpingooferektomi uygulandı. Lenfadenektomi, hastaların
%41.5’inde gerçekleştirildi. En sık seröz histopatolojik tip (%70.7) izlendi.
Hastaların çoğunda (%90.2) tümör, evre I’de idi. Hiç bir olguda nüks tespit
edilmedi.
Sonuç: Borderline over tümörleri, iyi prognoza sahip
olduğundan, fertilite arzusu olan hastalarda, unilateral salpingoferektomi
güvenle önerilebilecek bir tedavi şeklidir.
References
- 1. Bendifallah S, Ballester M, Uzan C, Fauvet R, Morice P, Darai E. Nomogram to predict recurrence in patients with early- and advanced-stage mucinous and serous borderline ovarian tumors. Am J Obstet Gynecol. 2014;211:637 e1-6.
Abstract
Purpose: The aim of this study was to evaluate the borderline ovarian tumor cases who were operated in our clinic.
Material and Methods: The last 5 years’ pathology reports, computer records and archival files of the Çukurova University Medical Faculty Gynecologic Oncology Unit were retrospectively reviewed for the borderline ovarian tumor patients. A total of 41 cases were detected and included in the study. Patients’ demographic characteristics, preoperative assessments, operation and pathological features were evaluated.
Results: Patients’ mean age was 41 and 85% of them were premenopausal. Average of the tumor diameter was found to be 10cm in the preoperative ultrasound examination. Mean of the preoperative ca125 value was 120. While total hysterectomy + bilateral salpingo-oophorectomy was applied to 12 cases, unilateral salpingo-oophorectomy was performed in the remaining 29 patients. Lymphadenectomy was carried out in 41.5% of the patients. Serous borderline was the most common histology (70.7%). Majority of the cases was with stage I disease (90.2%). No recurrences were determined among the study population.
Conclusion: Borderline ovarian tumors have a favorable prognosis and therefore, unilateral salpingo-oophorectomy can be suggested to be a safely treatment approach for patients who desire to protect their fertility.
References
- 1. Bendifallah S, Ballester M, Uzan C, Fauvet R, Morice P, Darai E. Nomogram to predict recurrence in patients with early- and advanced-stage mucinous and serous borderline ovarian tumors. Am J Obstet Gynecol. 2014;211:637 e1-6.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | December 31, 2016 |
| Acceptance Date | June 8, 2016 |
| Published in Issue | Year 2016 Volume: 41 Issue: 4 |
