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Unexpected Ovarian Malignancy Found after Laparoscopic Surgery in Patients with Adnexal Masses : A Single Institutional Experience
https://doi.org/10.18999/nagjms.76.1-2.83
https://doi.org/10.18999/nagjms.76.1-2.83fbe84b60-d6ae-4b52-ac04-cf5a7922c117
名前 / ファイル | ライセンス | アクション |
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09_Saito.pdf (243.7 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2014-03-03 | |||||
タイトル | ||||||
タイトル | Unexpected Ovarian Malignancy Found after Laparoscopic Surgery in Patients with Adnexal Masses : A Single Institutional Experience | |||||
言語 | en | |||||
著者 |
SAITO, SHIGEKO
× SAITO, SHIGEKO× KAJIYAMA, HIROAKI× MIWA, YOKO× MIZUNO, MIKA× KIKKAWA, FUMITAKA× TANAKA, SHIHO× OKAMOTO, TOMOMITSU |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | laparoscopy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ovarian malignant tumor | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | borderline malignancy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | recurrence | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | clinical outcome | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Laparoscopy has become the standard surgery for the treatment of benign ovarian tumors. The aim of this study was to evaluate the appropriateness of laparoscopy for ovarian tumors, including those with malignant potential. A total of 487 patients with adnexal masses underwent laparoscopic surgery in Social Insurance Chukyo Hospital from January 2000 to December 2012.We reviewed 471 cases that fulfilled the criteria set for this study, and examined 10 cases with unexpected ovarian malignancy to analyze their preoperative diagnosis, second surgery, postoperative chemotherapy, and prognosis. The ages of the 471 patients ranged from 13 to 50 years, with a median of 31. Nulliparous patients numbered 321(68.1%). Of all, 436 patients mostly consisted of those with endometrioma, benign ovarian neoplasm or functional cyst. In all, we histologically identified 10 women with malignancy: 6 with borderline ovarian tumors (BOT), 2 with ovarian cancer, and 2 with histologically rare tumors (immature teratoma and granulosa cell tumor). All patients with BOT were diagnosed with a mucinous histology. Two patients underwent both second radical surgery (hysterectomy and contra- or bilateral salpingo-oophorectomy) and chemotherapies that consisted of CBDCA and PTX or DTX. Thus, 2 patients underwent staging procedures, but the remaining 8 cases did not. None of them had evidence of recurrences. With accurate staging and careful postoperative follow-up, laparoscopic surgery could be a feasible initial operation for patients with adnexal masses including early-stage ovarian malignancy. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.76.1-2.83 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7612/7612.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 76, 号 1-2, p. 83-90, 発行日 2014-02 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/19486 | |||||
識別子タイプ | HDL |