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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Springer Verlag
2012
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/14248/ http://irep.iium.edu.my/14248/1/fulltext.pdf |
| _version_ | 1848777669321162752 |
|---|---|
| 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 |
| building | IIUM Repository |
| collection | Online Access |
| 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.
|
| first_indexed | 2025-11-14T14:49:39Z |
| format | Article |
| id | iium-14248 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T14:49:39Z |
| publishDate | 2012 |
| publisher | Springer Verlag |
| recordtype | eprints |
| repository_type | Digital Repository |
| 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 |
| 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 |
| title | 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_short | 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 |
| topic | RG Gynecology and obstetrics |
| 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 |