Blogger's Note: this paper is not designed (per abstract) to determine the outcomes of cyst/tumor rupture, rather how/when; research has indicated varied survival outcomes on tumor rupture (eg. prior to vs during surgery)
Abstract
Aim:
Laparoscopy is the gold standard for treatment of benign ovarian cysts,
although there is a risk of intraoperative cyst rupture if the lesion
is cancerous. This study is aimed at comparing the incidence of cyst
rupture to tumor size in both laparotomy and laparoscopy in order to
select the optimum surgical procedure for ovarian cysts.
Methods:
A total of 1483 cases of benign ovarian cysts were surgically treated
at our center between 1995 and 2010. These cases were divided into three
groups according to the maximum diameter of the ovarian tumors:
<5 cm, ≥5 cm but <10 cm, and ≥10 cm. The incidence of cyst rupture
was compared between laparotomy and laparoscopy according to the size
of the tumor in ovarian tumorectomy and adnexectomy.
Results:
The incidence of cyst rupture was significantly higher in ovarian
tumorectomy by laparoscopy than by laparotomy. Cyst rupture occurred
independent of the tumor size in both laparoscopy and laparotomy. For
adnexectomy for tumors smaller than 10 cm, there was no significant
difference by tumor size in the incidence of cyst rupture between
laparoscopy and laparotomy; however, the incidence of cyst rupture was
significantly higher in laparoscopy of tumors sized 10 cm or larger than
in the laparotomy of tumors of similar size; the incidence was also
greater than laparoscopy of tumors smaller than 10 cm.
Conclusion: Laparotomy, rather than laparoscopy, is recommended in cases of ovarian cysts with any finding suggestive of malignancy.
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Dec 26, 2008
OBJECTIVE::
To evaluate the effect of tumor capsule rupture on disease prognosis in
stage I epithelial ovarian cancer. METHODS:: All patients with
International Federation of Gynecology and Obstetrics stage I epithelial
...
