Medicine Baltimore ; 97 31 : e, Aug.
Early differential diagnosis is a key factor in the medical management of each patient. Transvaginal ultrasound along with additional preoperative testing, such as serum cancer antigen CA levels and the Risk of Ovarian Malignancy Algorithm ROMA score, usually provide sufficient information for a presumptive diagnosis.
Minimally invasive surgery as a therapeutic approach is the standard procedure for uncomplicated and benign adnexal masses. Histopathological examination alone, or in conjunction with immunohistochemical testing establishes a more certain diagnosis in the final step of the patient management plan.
We developed a retrospective descriptive observational study based on the evaluation of patients admitted to the Department of Obstetrics and Gynecology at "Sf Pantelimon" Clinical Emergency Hospital in Bucharest between January and July Each patient was diagnosed with an ovarian mass and underwent laparoscopic surgery for treatment. All data underwent descriptive statistical analysis in order to establish correlations between preoperative test results and definitive diagnoses.
The typical ultrasound findings of endometriotic cysts were histopathologically confirmed in Using ultrasound, benign teratomas were suspected in Mean CA value was Laparoscopic surgery with ovarian cystectomy was performed for Histopathological examinations established endometriosis was present in According to an independent samples t test with 2 extreme values eliminatedpatients in the premenopausal group had a significantly lower mean ROMA score than postmenopausal patients 6.
Our results ovarian cancer abdominal girth that transvaginal ultrasound established a presumptive diagnosis for almost half of ovarian cancer abdominal girth patients.
Cystectomy was the main surgical procedure used for the management of benign ovarian masses. Endometriosis was the most common benign ovarian pathology evaluated and treated in our study.