Overlerde Neoplastik ve Non-neoplastik Kistik Lezyonlarının Değerlendirilmesi

INTRODUCTION: Determination of the rates of neoplastic and non-neoplastic lesions in ovary cyst cases having been operated.
METHODS: Files of 126 patients being operated with pre-diagnosis of cystic mass in ovary in obstetrics and gynecology service of our hospital between 2005 and 2010 were inspected retrospectively.
RESULTS: TNon-neoplastic cysts in 41 patients (32,5%) and neoplastic tumors in 85 patients (67,4%) were observed out of ovarian masses. 74
benign (58,7%), 3 borderline(2,4%) and 8 malign tumors (6,3%) were observed in neoplastic tumors. All malign ovary tumors cases were operated in elective conditions using laparoscopy. While the average age of patients having these problems was 46±13, average cyst diameter was measured as 18±7.9 cm. 75% of malignancy was resulted from right ovary. The average Ca-125 value was 1420 ± 2079.
DISCUSSION AND CONCLUSION: 91 % of cystic masses resulting from ovary were detected as benign in histopathological inspection. Each case has to be evaluated considering ultrasonography, age, tumor determinant and operated in elective conditions if possible. Laparoscopy has to be preferred first of all for the patients that were supposed to suffer from benign and protection of ovary tissue has to be taken care of with minimal invasive approach.