Emergency and elective surgical management of tumors of the uterine appendages
Objective. To discuss the clinical aspects of differential diagnosis and treatment policy in patients with ovarian tumors, as well as indications for emergency and elective surgery.Nikogosyan S.O., Kuznetsov V.V., Zagashtokov A.Z.
Material and methods. The review included the data of foreign and Russian articles published in the past 20 years and found in international databases on this topic.
Results. The most significant risk factors for ovarian cancer are a family history, age, hormone replacement therapy, endometriosis, and obesity. Differential diagnosis is based on the data of transvaginal ultrasound in terms of the International Ovarian Tumor Analysis (IONA) diagnostic criteria and on the determination of the level of the markers CA 125, HE4, lactate dehydrogenase, human chorionic gonadotropin, and α-fetoprotein. The optimal method of surgical intervention is laparoscopic surgery, with intraoperative and elective histological examination.
Conclusion. When diagnosing malignant ovarian tumor, the latter should be treated only in specialized clinics.
Keywords
ovarian neoplasm
diagnosis
surgical treatment
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Received 03.10.2016
Accepted 11.11.2016
About the Authors
Nikogosyan Seda Ovikovna, MD, Ph.D., Department of Oncogynecology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia.115478, Russia, Moscow, Kashirskoe Shosse 23
Kuznetsov Viktor Vasilievich, MD, professor, head of the Department of Oncogynecology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia; member of the Moscow Society of Oncologists; member of the International Gynecologic Cancer Society. 115478, Russia, Moscow, Kashirskoe Shosse 23
Zagashtokov Aslan Zamakhshariyevich, aspirant of the Department of Oncogynecology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia.
115478, Russia, Moscow, Kashirskoe Shosse 23
For citations: Nikogosyan S.O., Kuznetsov V.V., Zagashtokov A.Z.
Emergency and elective surgical management of tumors of the uterine appendages.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (6): 10-6. (in Russian)
http://dx.doi.org/10.18565/aig.2017.6.10-6
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