title: Management of ovarian masses. AAGL 1990 survey.
abstract: The American Association of Gynecologic Laparoscopists (AAGL) membership was surveyed on the use of laparoscopy in the management of persistent ovarian masses in 1990. A total of 13,739 laparoscopies were performed for this indication. Ninety-six percent of the respondents performed laparoscopy for this indication on premenopausal women only. Among respondents performing laparoscopy for suspected cancer, there was a 14% conversion rate to laparotomy, compared to 9% among those who performed direct laparotomies when cancer was suspected. An overall incidence of 4 per 1,000 cases of stage I ovarian cancer was found, and about 70% of women with persistent adnexal masses were managed by laparoscopy alone. The risks to women with cancer, as well as the benefits to those without, are discussed.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill 27514-7570.
authors.forename: J F
authors.initials: JF
authors.lastname: Hulka
authors.forename: W H
authors.initials: WH
authors.lastname: Parker
authors.forename: M W
authors.initials: MW
authors.lastname: Surrey
authors.forename: J M
authors.initials: JM
authors.lastname: Phillips
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D007813:Laparotomy / Q000706:statistics & numerical data*; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery; D012307:Risk Factors