Author/Authors :
Polat, Mesut Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey , İncebıyık, Adnan Harran Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum AD, Turkey , Şanvedi, İlhan Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey , Şenol, Taylan Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey , Şentürk, Mehmet Baki Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey , Özkaya, Enis Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey , Karateke, Ateş Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Turkey
Abstract :
Objective: The purpose of this study is to evaluate the clinical findings, tumor markers, surgical treatment approaches and final pathological results of the dermoid cyst subjects treated at our hospital. Methods: The study was planned retrospectively. 114 subjects with dermoid cyst were included from our hospitals electronic log system. Along with the demographic data’s, pre-operative clinical findings, tumor sizes, ultrasonographic characteristics, tumor marker results, surgical treatment method (laparotomy-laparoscopy), administered surgical treatment procedure (cystectomy, oopherectomy, salpingo-oopherectomy, total abdominal hysterectomy-salpingo-oopherectomy) and pathology results were recorded from the patient files. Results: Mean age of the patients was 33.59±12.79 years (11-70). Abdominal pain was observed in 32 patients (%28.07) as the most common complaint during hospital admission. 70 patients (%38.59) were determined incidentally. Average cyst size was 47.70±48.49 cm2 during the ultrasonographic examination. Ca 125 level was higher than normal limits in only 12 (%10.52) patients and Ca 19-9 level was higher in only 29 (%25.43) of patients. The most common final histopathological diagnosis was dermoid cyst in 103 (%90.40) patients. Other histopathological diagnoses were immature teratoma, squamous cell carcinoma and serous carcinoma. Conclusion: Ovarian dermoid cysts are usually benign neoplasms and rarely show malign transformations. Tumor markers are not fairly enough to make discriminations. However especially in older patients treatment should be done cautiously due to the raised risk of malignity.
NaturalLanguageKeyword :
Dermoid cyst , ultrasonography , age , histopathologic content
