Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience

Aims To analyse and describe cases of unexpected ovarian malignancy after conservative laparoscopic surgery for an apparent benign ovarian mass at our centre. Methods This retrospective study was performed by collecting data from records of premenopausal women who underwent conservative lap...

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Main Authors:	Abd. Wahab, Noraziana, Chalermchockchareonkit, Amphan, Chaisilwattan, Pongsakdi, Mustafa, Kamarul Bahyah
Format:	Article
Language:	English
Published:	Springer Verlag 2012
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/1/fulltext.pdf

id	iium-14248
recordtype	eprints
spelling	iium-142482012-07-06T02:47:13Z http://irep.iium.edu.my/14248/ Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience Abd. Wahab, Noraziana Chalermchockchareonkit, Amphan Chaisilwattan, Pongsakdi Mustafa, Kamarul Bahyah RG Gynecology and obstetrics Aims To analyse and describe cases of unexpected ovarian malignancy after conservative laparoscopic surgery for an apparent benign ovarian mass at our centre. Methods This retrospective study was performed by collecting data from records of premenopausal women who underwent conservative laparoscopic surgery for benign ovarian mass at Siriraj Hospital over a 5 year period from 2006 to 2010. The rate of unexpected malignancy, histopathological type of the ovarian neoplasm and follow-up after surgery were reviewed. Results During the study period, 1,161 patients underwent conservative laparoscopic surgery. Of these, ﬁve (0.43%) had ovarian malignancy which were diagnosed after reviewing histopathological report postoperatively. The histopathological diagnosis was borderline tumour in two patients, clear cell carcinoma, granulosa cell tumour and mucinous cell adenocarcinoma in the other three patients. All patients are alive after a mean follow-up of 9–60 months with two patients developed recurrence. Conclusion The main concern for laparoscopic management of ovarian masses is unexpected malignancy. However, with careful patient selection, proper technique and an experienced operator, laparoscopic treatment of ovarian masses is the best approach and should be implemented, with low risk of unexpected malignancy and recurrence. Springer Verlag 2012-12-22 Article PeerReviewed application/pdf en http://irep.iium.edu.my/14248/1/fulltext.pdf Abd. Wahab, Noraziana and Chalermchockchareonkit, Amphan and Chaisilwattan, Pongsakdi and Mustafa, Kamarul Bahyah (2012) Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience. Archives of Gynecology and Obstetrics, 285 (6). pp. 1695-1698. ISSN 0932-0067 (Print) 1432-0711 (Online) http://www.springerlink.com/content/eu77877543730318/fulltext.pdf 10.1007/s00404-011-2177-2
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Abd. Wahab, Noraziana Chalermchockchareonkit, Amphan Chaisilwattan, Pongsakdi Mustafa, Kamarul Bahyah Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
description	Aims To analyse and describe cases of unexpected ovarian malignancy after conservative laparoscopic surgery for an apparent benign ovarian mass at our centre. Methods This retrospective study was performed by collecting data from records of premenopausal women who underwent conservative laparoscopic surgery for benign ovarian mass at Siriraj Hospital over a 5 year period from 2006 to 2010. The rate of unexpected malignancy, histopathological type of the ovarian neoplasm and follow-up after surgery were reviewed. Results During the study period, 1,161 patients underwent conservative laparoscopic surgery. Of these, ﬁve (0.43%) had ovarian malignancy which were diagnosed after reviewing histopathological report postoperatively. The histopathological diagnosis was borderline tumour in two patients, clear cell carcinoma, granulosa cell tumour and mucinous cell adenocarcinoma in the other three patients. All patients are alive after a mean follow-up of 9–60 months with two patients developed recurrence. Conclusion The main concern for laparoscopic management of ovarian masses is unexpected malignancy. However, with careful patient selection, proper technique and an experienced operator, laparoscopic treatment of ovarian masses is the best approach and should be implemented, with low risk of unexpected malignancy and recurrence.
format	Article
author	Abd. Wahab, Noraziana Chalermchockchareonkit, Amphan Chaisilwattan, Pongsakdi Mustafa, Kamarul Bahyah
author_facet	Abd. Wahab, Noraziana Chalermchockchareonkit, Amphan Chaisilwattan, Pongsakdi Mustafa, Kamarul Bahyah
author_sort	Abd. Wahab, Noraziana
title	Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
title_short	Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
title_full	Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
title_fullStr	Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
title_full_unstemmed	Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
title_sort	unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience
publisher	Springer Verlag
publishDate	2012
url	http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/1/fulltext.pdf
first_indexed	2023-09-18T20:23:25Z
last_indexed	2023-09-18T20:23:25Z
_version_	1777408258095448064

Unexpected ovarian malignancy after conservative laparoscopic surgery: ﬁve case series in a half decade of experience

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