Selected Adnexal Cystic Masses in Postmenopausal Women Can be Safely Managed by Laparoscopy.
10.3346/jkms.2005.20.3.468
- Author:
Jeong Won LEE
1
;
Chul Jung KIM
;
Ji Eun LEE
;
Sun Joo LEE
;
Byoung Gie KIM
;
Je Ho LEE
;
Duk Soo BAE
;
Chang Soo PARK
Author Information
1. Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. obgypark@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Postmenopause;
Adnexa Uteri;
Laparoscopy;
Ultrasonography;
CA-125 Antigen
- MeSH:
Adnexal Diseases/blood/*surgery/ultrasonography;
Aged;
CA-125 Antigen/blood;
Cysts/blood/*surgery/ultrasonography;
Female;
Humans;
Laparoscopy/*methods;
Middle Aged;
*Postmenopause;
Retrospective Studies;
Treatment Outcome;
Ultrasonography/methods
- From:Journal of Korean Medical Science
2005;20(3):468-472
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to assess the efficacy and safety of laparoscopic treatment for adnexal cystic masses that were predicted to be benign in postmenopausal women. Postmenopausal women found to have an adnexal cystic mass were retrospectively evaluated with transvaginal ultrasonography, and serum CA-125 levels. The selection criteria were adnexal cystic masses greater than 3 cm but less than 10 cm, the masses were in the benign range (4-8) of Sassone's scoring system for transvaginal ultrasonography, and the patients had serum CA-125 levels less than 65 IU/mL. Two hundred nineteen women fulfilled the criteria and underwent operative laparoscopy. Almost all the masses (99.5%) were accurately predicted to be benign except for one borderline ovarian tumor. Two hundreds thirteen (97.3%) women were successfully managed by operative laparoscopy and six (2.7%) required laparotomy. For the patients managed by laparoscopy, the mean operative time was 51.3 min; the mean hospital stay was 2.5 days. There was no significant morbidity and surgery-related mortality. The combination of the Sassone's scoring system for transvaginal ultrasonography and serum CA-125 level can accurately predict benign cystic masses, and operative laparoscopy is technically feasible and safe for the management of adnexal mass in postmenopausal women.
