abstract
OBJECTIVE:
To determine the prevalence rate of subsequent development of ovarian cancer after excision of
endometrioma.
DESIGN:
Retrospective cross-sectional study.
SETTING:
University hospital.
PATIENT(S):
A total of 485 women with endometrioma.
INTERVENTION(S):
Excisions of endometrioma were performed between 1995 and 2004. Data were collected from medical records in 2013.
MAIN OUTCOME MEASURE(S):
Age,
revised American Society for Reproductive Medicine score, cyst
diameter, follow-up periods, endometrioma recurrence, and development of
ovarian cancer.
RESULT(S):
Recurrence
of endometrioma was recorded in 121 patients (24.9% of the entire
cohort), and 4 patients (0.8% of the entire cohort) developed ovarian
cancer.
All ovarian cancers developed from a recurrent endometrioma
(3.3% of patients who experienced recurrence). Recurrence of
endometrioma was significantly associated with ovarian cancer
development.
CONCLUSION(S):
Ovarian
cancers can develop after excision of endometrioma and are more likely
to arise from recurrent endometrioma. Special care such as rigorous
follow-up should be practiced to
manage patients who experience
recurrence of endometrioma.
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