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Laparoscopical management ovarian early sex cord-stromal tumors in postmenopausal women: a proposal method
- Source :
- Archives of gynecology and obstetrics. 283
- Publication Year :
- 2010
-
Abstract
- Ovarian sex-cord stromal tumor (SCST) comprises 5% of the ovarian neoplasm; it occurs as an ovarian mass or hemoperitoneum, and the surgical management of SCST is not well defined at early stage and in adult patients.The authors tested to test the total not radical laparoscopic management of SCST in postmenopausal women at early stage.Three postmenopausal women were admitted in University-affiliated hospitals for pelvic pain, ovarian complex mass and genital bleeding. Preoperative clinical and instrumental examination suspected an ovarian tumor; therefore, a total laparoscopic approach was attempted. All patients underwent laparoscopic oophorectomy with the frozen section, who suggested for ovarian SCST; one woman received a total laparoscopic hysterectomy plus other oophorectomy, two received only the complementary oophorectomy, all without intensive surgical staging by with pelvic and para-aortic lymphadenectomy, appendectomy, peritoneal biopsies, and omentectomy.All patients completed surgery without intrasurgical and postsurgical complications, with a fast dismissal. They are, currently, in long-term follow-up, with a 100% of survival after 3 years and with none morbility and morbidity.In order to fast restore and preserve women's integrity, total laparoscopic approach of early SCST in adult age, without intensive radical staging, could be an appropriate clinical choice, since these tumors at slow growth, recurring locally and only a long time after initial treatment. This minimally invasive management could be suggested in association with a long-term follow-up, as possible "wait and see" postoperative option.
- Subjects :
- Oncology
endocrine system
medicine.medical_specialty
Stromal cell
endocrine system diseases
Ovariectomy
Hysterectomy
Internal medicine
medicine
Neoplasm
Humans
Sex Cord-Gonadal Stromal Tumors
Hemoperitoneum
Stromal tumor
Stage (cooking)
Laparoscopy
Aged
Gynecology
Ovarian Neoplasms
medicine.diagnostic_test
business.industry
Obstetrics and Gynecology
General Medicine
Middle Aged
medicine.disease
female genital diseases and pregnancy complications
Menopause
Postmenopause
stomatognathic diseases
Early Diagnosis
Female
medicine.symptom
Ovarian cancer
business
Subjects
Details
- ISSN :
- 14320711
- Volume :
- 283
- Database :
- OpenAIRE
- Journal :
- Archives of gynecology and obstetrics
- Accession number :
- edsair.doi.dedup.....14b855d26597502cad86f6196e5e251c