Management of selected cystic adnexal masses in postmenopausal women by operative laparoscopy: a pilot study.
Twenty-five postmenopausal patients were predicted to have benign masses by screening criteria that included ultrasonographic findings of a cystic adnexal mass less than 10 cm with distinct borders and no evidence of irregular solid parts, thick septa, ascites, or matted bowel, and a normal serum CA 125 value (less than 35 U/ml). All 25 masses were accurately predicted to be benign. The size of the cysts on ultrasonography ranged from 3 to 9 cm with a mean of 5 cm. Twenty-two patients (88%) were successfully managed by operative laparoscopy and adnexectomy. Mean operative time was 70 minutes and mean postoperative hospital stay was 12 hours. Mean time of return to normal activity was 5 days. Three patients required laparotomy. We conclude that removal of these cystic adnexal masses by operative laparoscopy is an acceptable alternative in carefully selected postmenopausal women.
Parker
W H
WH
Department of Obstetrics and Gynecology, University of California Los Angeles School of Medicine.
Berek
J S
JS
D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000276:immunology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000032:analysis; D003560:Cysts / Q000000981:diagnostic imaging / Q000276:immunology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008593:Menopause; D008722:Methods; D008875:Middle Aged; D010865:Pilot Projects; D014463:Ultrasonography
D015295:Antigens, Tumor-Associated, Carbohydrate