Τίτλος:
Cystic uterine tumors
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background/Aims: The differential diagnosis of cystic uterine tumors includes fibroids showing cystic degeneration, cystic adenomyomas, congenital cysts, and developmental anomalies. Methods: The incidence, clinical presentation and accuracy in preoperative diagnosis of cystic uterine tumors were studied in a university hospital population over a 6-year period. Results: 29 cases were included. Of these, 8 corresponded to the diagnosis of a non-fibroid uterine cystic enlargement, and 21 to that of a fibroid with cystic degeneration. Age and parity were significantly lower in patients with non-fibroid cysts. Rates of symptomatic women (60 vs. 55.6%) were similar in both groups. The preoperative diagnosis was accurate in 20/21 (95.2%) cases with a degenerated leiomyoma. On the contrary, in 6/8 (75%) cases with a non-fibroid cystic swelling an erroneous diagnosis of an adnexal or an extrauterine mass was made preoperatively. In this group, histology of the tumor showed a cystic adenomyoma in 3, a congenital cyst in 3, and a blind rudimentary uterine horn in 2 cases, respectively. Conclusion: Uterine cystic tumors are uncommon. Frequently, non-fibroid swellings are erroneously diagnosed as adnexal enlargements and their true origin only becomes evident during surgery. Copyright © 2008 S. Karger AG.
Συγγραφείς:
Protopapas, A.
Milingos, S.
Markaki, S.
Loutradis, D.
Haidopoulos, D.
Sotiropoulou, M.
Antsaklis, A.
Περιοδικό:
Gynecologic and Obstetric Investigation
Λέξεις-κλειδιά:
adenomyoma; adnexa disease; adult; article; clinical article; clinical feature; controlled study; cystadenoma; diagnostic accuracy; differential diagnosis; ectopic pregnancy; female; human; leiomyoma; ovary disease; parity; priority journal; uterus horn; uterus tumor, Adenomyoma; Adult; Cyst Fluid; Diagnosis, Differential; Female; Humans; Incidence; Leiomyoma; Middle Aged; Preoperative Care; Retrospective Studies; Uterine Neoplasms
