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618.11-006.04-07-089 (2) |
Mедицинские науки (11142) |
SM ISO690:2012 MIŞINA, Ana, HAREA, Patricia, FUIOR-BULHAC, Liliana, PETROVICI, Virgil. Tumorile ovariene stromale: analiza a 23 cazuri consecutive.. In: Buletin de Perinatologie, 2020, nr. 1(86), pp. 126-132. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 1(86) / 2020 / ISSN 1810-5289 | ||||||
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CZU: 618.11-006.04-07-089 | ||||||
Pag. 126-132 | ||||||
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Introduction: Stromal ovarian tumors (SOT) are rare formations and constitute from 1% to 4.7% of the structure of ovarian neoplasms. Th e aim of the study was to investigate the results of surgical treatment of SOT. Material and Methods: Th e data of 23 patients, operated in our unit were analyzed with the fi nal histological result of SOT. Results: Th e mean age of the patients was 45.7±2.9 years (95% CI:39.77–51.62). SOT were more frequently unilateral than bilateral – 91.3% vs. 8.7%. According to the data of the radiological methods of investigation the average maximum dimensions were 7.9±0.6 cm (from 4.5 to 15.3), and the volume of the formations – 291.6±85.4 cm3 (95% CI:114.4–468.9). In 5(21.7%) cases, free fl uid was visualized in the abdominal cavity and intraoperatively the presence of ascitic fl uid in an average volume of 221.3±24.1 ml (95% CI:144.8–297.7) was confi rmed. Th e volume of surgery for SOT included: subtotal hysterectomy + bilateral adnexectomy (n=8, 34.8%), subtotal hysterectomy + unilateral adnexectomy (n=1, 4.3%), bilateral adnexectomy (n=2, 8.7%), adnexectomy (n=7, 30.5%), bilateral tumorectomy (n=1, 4.3%) and tumorectomy (n=4, 17.4%). At the histological examination (n=25), the following morphological variants of SOT were established: thecoma – 12(48%), fi broma – 8(32%) and fi brothecoma – 5(20%). Follow-up was 66.1±7.7 months (95%CI: 50.03–81.97), all patients were asymptomatic without recurrence. Conclusions: SOT is more common in perimenopausal and menopausal patients. More commonly it is diagnosed as uterine fi broids or malignant ovarian tumors. Performing tumorectomies in the case of SOT is the appropriate method of treatment in patients of reproductive age. |
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Cuvinte-cheie ovary • fi broma • thecoma • surgery • pathology, яичник • фиброма • текома • хирургия • патология |
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