这项研究的目的是将临床发现联系起来,RMI-4指数和冷冻切片,在具有最终组织病理学的卵巢纤维瘤的情况下。
这是23例卵巢纤维瘤患者的临床和病理特征的回顾性研究。患者年龄34~66岁(平均49岁)。最常见的症状是腹痛。在临床检查中,卵巢肿瘤平均大小为9.5cm,发现14名患者的CA-125水平升高,10例患者与腹水有关。USG显示出界限良好的肿块(平均大小为14厘米),左侧14例,右侧9例。计算所有患者的RMI-4,它揭示了17例患者的良性组织学的可能性。所有患者均行剖腹探查术,切除卵巢肿瘤,然后进行冰冻切片检查。除一名(22/23)患者外,所有患者在冷冻切片和最终组织病理学发现之间均呈正相关。
卵巢纤维瘤通常发生在绝经后妇女中。我们研究的所有卵巢纤维瘤患者均有症状,大多数患者存在明显的肿块。RMI-4指数与疾病的良性性质非常相关。冷冻切片在手术中具有宝贵的作用;保留生育手术是年轻女性的选择。
临床发现,RMI-4索引和冷冻切片,在卵巢良性肿瘤的手术前和手术中发挥重要作用。
The purpose of this study was to correlate the clinical findings, RMI-4 index and frozen section, in cases of ovarian fibroma with the final histopathology.
This is a retrospective study of clinical and pathological features of 23 patients of ovarian fibroma. The patient\'s age ranged from 34 to 66 years (mean-49 years). The most common presenting symptom was abdominal pain. On clinical examination, the mean size of ovarian tumor was 9.5 cm, CA-125 levels were found to be raised in 14 patients, and it was associated with ascites in 10 patients. USG showed a well-circumscribed mass (with a mean size of 14 cm), on the left side in 14 cases and on the right side in 9 patients. RMI-4 was calculated in all the patients, and it revealed the possibility of a benign histology in 17 patients. All patients underwent exploratory laparotomy with the removal of ovarian tumor followed by frozen section examination. All but one (22/23) patient had positive correlation among frozen section and final histopathological findings.
Ovarian fibroma generally tends to occur in post-menopausal women. All the patients in our study of ovarian fibroma were symptomatic, with the presence of palpable mass in majority of patients. RMI-4 Index correlated very well with benign nature of disease. Frozen section has an invaluable role at surgery; fertility-conserving surgery is the choice in young women.
Clinical findings, RMI-4 Index and frozen section, play vital roles before and during surgery in cases of benign ovarian tumors.