Ovarian endometriosis and the risk of malignancy
- VernacularTitle:卵巢内膜样囊肿与恶变相关分析
- Author:
Wenrong ZHAO
;
Dan YANG
- Publication Type:Journal Article
- Keywords:
ovarian endometriosis;
malignantdegeneration;
ovarian tumours
- From:
Fudan University Journal of Medical Sciences
2009;36(6):760-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical and pathological characteristics of ovarian endometriosis and malignant cases, and to improve our recognition of this disease. Methods A total of 1 289 cases of ovarian endometriosis were divided into two groups: the benign group (1 275 cases)and the malignant group (14 cases). They were analyzed on: dysmenorrhea, infertility, features of ultrasound examination,site of tumour,pathological types and complications. Results Malignancy arising from ovarian endometriosis was 1.09%. As far as degree of dysmenorrhea, size of cyst >10 cm, CA125 >500 U/L, features of ultrasound were concerned, difference between the two groups was statistically significant. Conclusions In the present study, the malignant rate of ovarian endometriosis was about 1%. Malignancy should be considered seriously when the following situations occured: change in the degree of dysmenorrhea, size of cyst larger than 10 cm, CA125 higher than 500 U/L, mamilla observed by ultrasound examination.