Analysis of benign ovarian tumors intervened in our hospital
Main Article Content
Abstract
An adnexal mass is a common gynecological problem. In this article, a retrospective analysis has been carried out of all ovarian tumors intervened between November 2015 and February 2019 at the Jaén Hospital Complex, belonging to the Andalusian Health Service, whose reference area covers the health centers of the Districts of Jaén and Jaén Sur; In addition to referrals from regional hospitals belonging to the province. The data have been obtained from the database of our computer system (Diraya), obtaining the following results in the 91 pathological studies reviewed of the surgical interventions performed in the described time: endometrioma (38.5%) followed by mature teratoma ( 22%), thirdly, simple serous cyst (12%), fourth place mucinous cystadenoma (10.9%) fifth serous cystadenoma (8.9%), sixth serous cystadenofibroma (5.5%) and finally We have found a case of mucinous cystadenofibroma and cyst of the rete. In our review we have seen that the frequencies of each benign cyst may be different from those described in the literature because of the specific characteristics of each hospital, as in our case that the endometrioma is the most frequent benign cyst, however in the literature the most frequent are mature cystadenomas and teratomas.
References
malignancy in adnexal masses. International Federation of Gynecology and Obstetrics,
114, 290-291.
Brown, D.L., Doubilet, P.M., y Miller, F.H. (1998). Benign and malignant ovarian masses: selection
of the most discriminating gray-scale and Doppler sonographic features. Radiology, 208,
103-110.
Caspi, B., Appelman, Z., y Rabinerson, D. (1996). Pathognomonic echo patterns of benign cystic
teratomas of the ovary: classification, incidence and accuracy rate of sonographic
diagnosis. International Society of Ultrasound in Obstetrics and Gynecology, 7, 275.
Froyman, W., Landolfo, C., y De Cock, B. (2017). Risk of complications in conservatively managed
adnexal masses initially thought to be benign at subjective impression by the ultrasound
examiner. International Society of Ultrasound in Obstetrics and Gynecology, 50, 1.
Geomini, P., Kruitwagen, R., Bremer, G.L., Cnossen, J., y Mol, B.W. (2009). The accuracy of risk
scores in predicting ovarian malignancy: a systematic review. Obstetrics and
Gynecology, 113, 384-94.
Gilman, J., y Stein H. (1941). The corpus luteum of pregnancy. Surgery, Gynecology & Obstetrics,
72, 129.
Glanc, P., Benacerraf, B., Bourne, T., Brown, D., Coleman, B.G., Crum, C., … Goldstein, S.R.
(2017). First International Consensus Report on Adnexal Masses: Management
Recommendations. Journal of Ultrasound in Medicine, 36(5), 849-863.
Grimes, D.A., Jones, L.B., López, L.M., y Schulz, K.F. (2011). Oral contraceptives for functional
ovarían cysts. Cochrane Database Systematic Reviews, 7(9), CD006134.
Guerriero, S., Alcazar, J.L., y Ajossa, S. (2010). Transvaginal color Doppler imaging in the
detection of ovarian cancer in a large study population. International Journal of
Gynecologic Cancer, 20, 781-6.
Jain, K.A. (2002). Sonographic spectrum of hemorrhagic ovarian cysts. Journal of Ultrasound in
Medicine, 21, 879.
Katz, V.L. (2007). Benign gynecologic lesions: Vulva, vagina, cervix, uterus, oviduct, ovary. In
Killackey, M.A, y Neuwirth, R.S. (1988). Evaluation and management of the pelvic mass: a review
of 540 cases. Obstetrics and Gynecology, 71, 319.
Kurman, R.J., Ellenson, L.H., y Ronnett, B.M. (2011). Blaustein’s Pathology of the Female Genital
Tract. Springer, 1, 514.
Levine, D., Brown, D.L., Andreotti, R.F., Benacerraf, B., Benson, C.B., Brewster, W.R., …
Smith- Bindman, R. (2010). Management of Asymptomatic Ovarian and Other Adnexal
Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference
Statement. Radiology, 256(3), 121-131.
Myers, E.R., Bastian, L.A., y Havrilesky, L.J. (2006). Management of adnexal mass. Evidence
Report/Technology Assessment, 130, 1-145.
Ram, M., Abdulla, A., Razvi, K., Pandeva, I., y Al-Nafussi, A. (2009). Cystadenofibroma of the
rete ovarii: a case report with review of literature. Rare Tumors, 1(1), 25.
Samaha, M., y Woodruff, J.D. (1985). Paratubal cysts: frequency, histogenesis, and associated
clinical features. Obstetrics and Gynecology, 65, 691.
Savelli, L., Ghi, T., y De Iaco, P. (2006). Paraovarian/paratubal cysts: comparison of transvaginal
sonographic and pathological findings to establish diagnostic criteria. Ultrasound in
Obstetrics and Gynecology, 28, 330.
Timmerman, D., Valentin, L., y Bourne, T.H. (2000). Terms, Definitions and Measurements to
Describe the Sonographic Features of Adnexal Tumors: A Consensus Opinion From the
International Ovarian Tumor Analysis (IOTA) Group. Ultrasound in Obstetrics and
Gynecology, 16, 500-505.
V.L. Katz, G.M. Lentz, R.A. Lobo, y D.M. Gershenson (Eds.), Comprehensive Gynecology, 5, 452.
Philadelphia: Mosby Elsevier.
Valentin, L. (1999). Pattern recognition of pelvic masses by gray-scale ultrasound imaging: the
contribution of Doppler ultrasound. Ultrasound in Obstetrics and Gynecology, 14, 338-
347.
Zalel, Y., Piura, B., y Elchalal, U. (1996). Diagnosis and management of malignant germ cell
ovarian tumors in young females. International Journal of Gynaecology and Obstetrics,
55, 1.