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Research Article| Volume 167, ISSUE 3, P790-796, September 1992

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Four ovarian cancers diagnosed during laparoscopic management of 1011 women with adnexal masses

  • Author Footnotes
    a From the Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon
    Farr Nezhat
    Footnotes
    a From the Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon
    Affiliations
    Macon and Atlanta, Georgia
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  • Author Footnotes
    a From the Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon
    Camran Nezhat
    Correspondence
    Reprint requests: Camran Nezhat, MD, 5555 Peachtree Dunwoody Road, N.E., Atlanta, GA 30342.
    Footnotes
    a From the Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon
    Affiliations
    Macon and Atlanta, Georgia
    Search for articles by this author
  • Author Footnotes
    b Center for Special Pelvic Surgery, Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta.
    Charles E. Welander
    Footnotes
    b Center for Special Pelvic Surgery, Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta.
    Affiliations
    Macon and Atlanta, Georgia
    Search for articles by this author
  • Author Footnotes
    b Center for Special Pelvic Surgery, Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta.
    Benedict Benigno
    Footnotes
    b Center for Special Pelvic Surgery, Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta.
    Affiliations
    Macon and Atlanta, Georgia
    Search for articles by this author
  • Author Footnotes
    a From the Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon
    b Center for Special Pelvic Surgery, Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta.
DOI:https://doi.org/10.1016/S0002-9378(11)91591-9
Four ovarian cancers diagnosed during laparoscopic management of 1011 women with adnexal masses
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      OBJECTIVES: This study was conducted to assess the value of laparoscopic management of adnexal masses. Two concerns we wish to address are the failure to diagnose early ovarian cancer at laparoscopy and worsening the prognosis of stage I cancer by spilling fluid during surgery.
      STUDY DESIGN: The setting is a predominantly referral-based, private subspecialty practice. All operations were prefomerd in the outpatient surgical suite of a large suburban hospital. After extensive patient screenings, which included history and physical examination, preoperative serum CA 125 levels (since 1988), and pelvic ultrasonography, 1209 adnexal masses were managed laparoscopically.
      RESULTS: Of 1011 patients with surgical management, ovarian cancer was discovered intraoperatively in four.
      CONCLUSIONS: Our findings indicate that with consistent use of frozen sections of all cyst walls and suspicious tissue, laparoscopic management did not alter the prognosis. Neither CA 125 level, pelvic ultrasonography, nor peritoneal cytologic testing had sufficient diagnostic specificity to predict malignancy. Experienced surgeons using intraoperative histologic sampling may safely evaluate adnexal mass laparoscopically.

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      Article info

      Publication history

      Accepted: February 18, 1992
      Received in revised form: January 3, 1992
      Received: September 10, 1991

      Identification

      DOI: https://doi.org/10.1016/S0002-9378(11)91591-9

      Copyright

      © 1992 Mosby. Published by Elsevier Inc. All rights reserved.

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