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Your search keyword '"Ovarian malignancy"' showing total 2 results
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2 results on '"Ovarian malignancy"'

1. Peritoneal tuberculosis mimicking ovarian carcinoma

Author

Carvallo-Tapia, Cristina, Torres-Cepeda, Duly, and Reyna-Villasmil, Eduardo

Subjects
Tuberculosis Peritoneal, Tumores Abdominopélvicos, Ovarian Malignancy, Peritoneal Carcinomatosis, Carcinomatosis Peritoneal, Abdominopelvic Tumors, Peritoneal Tuberculosis, Neoplasia Ovárica Maligna
Abstract

La tuberculosis peritoneal es una ubicación extrapulmonar común en mujeres, con características similares a neoplasias malignas ováricas avanzadas. Es difícil de diagnosticar debido a que produce ascitis masiva y crecimiento peritoneal marcado, similar a la carcinomatosis. Se necesitan estudios patológicos y cultivos bacterianos para confirmarlo, ya que no existen hallazgos clínicos, de laboratorio o radiológicos patognomónicos para la patología. El tratamiento temprano generalmente tiene un buen pronóstico. Se presenta un caso de tuberculosis peritoneal con la triada clásica (ascitis similar a carcinoma ovárico en etapas avanzadas, tumores abdominopélvicos y aumento de las concentraciones séricas de CA-125). La laparotomía mostró nódulos abdominales-peritoneales con inflamación granulomatosa. La paciente inició tratamiento y, durante el seguimiento, los síntomas al igual que las concentraciones de CA-125 normalizaron. Peritoneal tuberculosis is a common extrapulmonary site in females, mimicking an advanced ovarian malignancy. It is difficult to diagnose because it may produce massive ascites, and a gross peritoneal appearance similar to carcinomatosis. It requires confirmation by pathological studies and bacterial cultures, as there are not pathognomonic clinical, laboratory or radiologic findings. Early treatment usually is associated to good prognosis. A case of peritoneal tuberculosis with the classic triad (advanced-stage ovarian carcinoma-like ascites, abdominopelvic tumors and elevated serum CA-125 levels) is presented. Laparotomy showed abdominal and peritoneal nodules reported as granulomatous inflammation on biopsy. Patient started treatment and, on follow-up, symptoms and CA-125 levels normalized.

Published
2017

2. [Diagnosis and management in pediatric patients with ovarian masses].

Author

Cabrera Chamorro CC, Caicedo Paredes CA, Portillo Bastidas EA, Pantoja Chamorro FI, Villamil Giraldo CE, Chávez Betancourt G, and Zarama Márquez RA

Subjects
Adolescent, Biomarkers, Tumor metabolism, Child, Child, Preschool, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Infant, Minimally Invasive Surgical Procedures methods, Neoplasm Staging, Ovarian Diseases pathology, Ovarian Diseases surgery, Ovarian Neoplasms pathology, Ovarian Neoplasms surgery, Pelvic Pain epidemiology, Pelvic Pain etiology, Retrospective Studies, Organ Sparing Treatments methods, Ovarian Diseases diagnosis, Ovarian Neoplasms diagnosis, Ovariectomy methods
Abstract

Objective: Review of the diagnosis and management of ovarian masses in children, through the identification of preoperative risk factors of malignancy, the evaluation of surgical management and its results., Methods: Retrospective study in pediatric patients under 18 years old, managed surgically by ovarian masses. Analyzed data were symptoms, imagining, tumor markers, treatment, outcomes and pathology. The primary endpoint was ovarian malignancy., Results: We identified 54 patients with ovarian masses between 2014 and 2017, of which 49 were benign and 5 malignant; The malignant ovarian masses were significantly larger than the benign, with an average of 19.4 cm vs 6.49 cm (p = 0.0001); had greater solid component in the imaging and positive tumor markers (p = 0.001) and were treated with oophorectomy plus tumor staging surgery. Forty-three patients with benign tumors underwent ovarian preservation surgery. The postoperative follow-up of all the patients was on average 3.4 months (1-25 months) and 20.3% presented pelvic pain associated with alterations of the menstrual cycle in their postoperative control. There are no reports of recurrence or contralateral ovarian tumor., Conclusions: Large masses with solid components and positive tumor markers were significant predictors of malignancy. Minimally invasive ovarian preserving surgery should be considered as the first treatment option in masses with low risk of malignancy. On the other hand, oophorectomy plus tumor staging surgery should be considered for ovarian tumors with a high risk of malignancy.

Published
2018

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