[Celioscopic removal of cysts: a fortuitous histological discovery of an ovarian carcinoma. A case report].
The authors report a case of cancer of the ovary that had not been recognised but which was discovered after laparoscopic surgical cystectomy. Laparoscopy is very reliable in a presumptive diagnosis of the nature of an ovarian mass, but in this case shows that the operator has to be very attentive especially when there is a rapid recurrence of cyst formation in the ovary that has been operated on. They discuss the indications for intra-peritoneal laparoscopic ovariectomy in short term recurrences after ovarian cyst removal and in particular when these were mucinous. For most authors the risk of dissemination when an ovarian cyst which has proved to be malignant is punctured, seems to be nil, and unlikely to effect the prognosis. It may be possible that in the future the diagnosis of these cases can be improved when the clinical picture, the ultrasound picture and the laparoscopic picture are added to a new development of intraperitoneal laparoscopic ultrasound which will make it possible to view the contents of the cyst with direct contact.
Benifla
J L
JL
Service de Gynécologie-Obstétrique, Hôpital Bichat, Paris.
Hauuy
J P
JP
Guglielmina
J N
JN
Walker-Combrouze
F
F
Bocquet
L
L
Créquat
J
J
Madelenat
P
P
D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000592:standards*; D010048:Ovarian Cysts / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012086:Reoperation; D012811:Sigmoid Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery
Kystectomie percoelioscopique: découverte histologique fortuite d'un carcinome ovarien. A propos d'un cas.