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Investigation of the Predictive Factors of Recurrent Ovarian Mucinous Cystadenoma.
- Source :
- Gynecology Obstetrics & Reproductive Medicine (MN GORM); 2024, Vol. 30 Issue 2, p138-142, 5p
- Publication Year :
- 2024
-
Abstract
- OBJECTIVE: Rapid growth patterns and recurrence with variable rates have been reported in the literature, making mucinous cystadenomas different from other ovarian benign neoplasms. The study aimed to predict and prevent recurrence based on the obtained results. STUDY DESIGN: In this case-control study among the 2,341 patients who underwent surgery for ovarian cysts, 221 met the inclusion criteria. The 221 patients diagnosed with mucinous cystadenoma were categorized into two groups: 14 patients (6.3%) with recurrence and 207 patients (93.7%) without recurrence. Patients in these groups were compared in terms of demographic characteristics, ovarian cyst size, operative technique, type of surgery (oophorectomy or cystectomy), Ca19-9, CA125, and CEA values of the patients, and duration of postoperative follow-up. RESULTS: The mean age was statistically lower in the group with recurrence (27±5 vs 44±14; p<0.001). The follow-up period of recurrent cases was significantly longer (6.8 ± 3.5 vs 4.9 ± 2.2 years; p=0.045). The recurrence rate was significantly higher in patients who underwent cystectomy (p<0.001; odds ratio: 22.8). When all patients were examined, cystectomy was preferred in younger patients [31 (18-65) vs 48 (18-81); p<0.001]. According to regression analysis, cystectomy alone is an independent risk factor (p=0.041). CONCLUSION: Unlike conventional ovarian cystadenomas, mucinous cystadenomas should be followed up owing to the possibility of recurrence, especially when detected at an early age. Since cystectomy is the only independent risk factor, oophorectomy should be the primary treatment for patients >40 years of age who have no desire for childbearing. [ABSTRACT FROM AUTHOR]
- Subjects :
- RISK assessment
PEARSON correlation (Statistics)
CYSTADENOMA
CANCER relapse
ACADEMIC medical centers
T-test (Statistics)
OVARIAN tumors
FISHER exact test
LOGISTIC regression analysis
TUMOR markers
DESCRIPTIVE statistics
RETROSPECTIVE studies
MANN Whitney U Test
CHI-squared test
AGE distribution
MULTIVARIATE analysis
ODDS ratio
LONGITUDINAL method
CASE-control method
MEDICAL records
ACQUISITION of data
STATISTICS
SOCIODEMOGRAPHIC factors
DATA analysis software
CONFIDENCE intervals
PATIENT aftercare
GYNECOLOGIC surgery
OVARIECTOMY
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 13004751
- Volume :
- 30
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Gynecology Obstetrics & Reproductive Medicine (MN GORM)
- Publication Type :
- Academic Journal
- Accession number :
- 179282814
- Full Text :
- https://doi.org/10.21613/GORM.2023.1508