Laparoscopic surgical management and clinical characteristics of ovarian fibromas

Chang Eop Son, Joong Sub Choi, Jung Hun Lee, Seung Wook Jeon, Jin-Hwa Hong, Jong Woon Bae

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

Objective: This study aims to analyze the clinical characteristics and diagnostic features of ovarian fibromas and to evaluate the efficacy and safety of laparoscopic surgery for ovarian fibromas. Methods: We reviewed the records of 47 consecutive women who underwent laparoscopic or laparotomic surgeries and whose final histopathological diagnoses were ovarian fibroma, cellular fibroma, or fibrothecoma from January 1999 to August 2010. Results: During the study period, 49 tumors were removed from 47 women including 27 ovarian fibromas, 19 fibrothecomas, and 3 cellular fibromas. The preoperative diagnoses were ovarian fibroma in 25 women (53.2%) and uterine myoma in 16 women (34.0%). A high serum CA 125 level (>35U/mL) was observed in 15 women, and serum CA 125 level was significantly higher in women with ascites (P=<0.001). The tumors were removed surgically in all women, using the laparotomic approach in 16 women (34.0%) and the laparoscopic approach in 31 women (66.0%). The laparoscopic surgery had the advantages of shorter hospital stay and faster return of bowel activities compared to laparotomy. Conclusions: Ovarian fibromas are often misdiagnosed as uterine myomas, and sometimes mistaken for a malignant tumor of the ovary preoperatively. Laparoscopic surgery can be an effective and safe surgical approach for managing ovarian fibromas.

Original languageEnglish
Pages (from-to)16-20
Number of pages5
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume15
Issue number1
DOIs
Publication statusPublished - 2011 Jan 1
Externally publishedYes

Fingerprint

Laparoscopy
Myoma
Fibroma
Ovarian Fibromata
Neoplasms
Diagnostic Errors
Serum
Ascites
Laparotomy
Ovary
Length of Stay
Safety

Keywords

  • Cellular fibroma
  • Fibroma
  • Fibrothecoma
  • Laparoscopy
  • Ovary

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic surgical management and clinical characteristics of ovarian fibromas. / Son, Chang Eop; Choi, Joong Sub; Lee, Jung Hun; Jeon, Seung Wook; Hong, Jin-Hwa; Bae, Jong Woon.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 15, No. 1, 01.01.2011, p. 16-20.

Research output: Contribution to journalReview article

Son, Chang Eop ; Choi, Joong Sub ; Lee, Jung Hun ; Jeon, Seung Wook ; Hong, Jin-Hwa ; Bae, Jong Woon. / Laparoscopic surgical management and clinical characteristics of ovarian fibromas. In: Journal of the Society of Laparoendoscopic Surgeons. 2011 ; Vol. 15, No. 1. pp. 16-20.
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abstract = "Objective: This study aims to analyze the clinical characteristics and diagnostic features of ovarian fibromas and to evaluate the efficacy and safety of laparoscopic surgery for ovarian fibromas. Methods: We reviewed the records of 47 consecutive women who underwent laparoscopic or laparotomic surgeries and whose final histopathological diagnoses were ovarian fibroma, cellular fibroma, or fibrothecoma from January 1999 to August 2010. Results: During the study period, 49 tumors were removed from 47 women including 27 ovarian fibromas, 19 fibrothecomas, and 3 cellular fibromas. The preoperative diagnoses were ovarian fibroma in 25 women (53.2{\%}) and uterine myoma in 16 women (34.0{\%}). A high serum CA 125 level (>35U/mL) was observed in 15 women, and serum CA 125 level was significantly higher in women with ascites (P=<0.001). The tumors were removed surgically in all women, using the laparotomic approach in 16 women (34.0{\%}) and the laparoscopic approach in 31 women (66.0{\%}). The laparoscopic surgery had the advantages of shorter hospital stay and faster return of bowel activities compared to laparotomy. Conclusions: Ovarian fibromas are often misdiagnosed as uterine myomas, and sometimes mistaken for a malignant tumor of the ovary preoperatively. Laparoscopic surgery can be an effective and safe surgical approach for managing ovarian fibromas.",
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