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Ovarian remnant syndrome
Paul M Magtibay1, Javier F Magrina
1Division of Gynecologic Oncology, Mayo Clinic, Scottsdale, Arizona 85259, USA. magtibay.paul@mayo.edu
Clinical Obstetrics and Gynecology
|August 4, 2006
Summary
Ovarian remnant syndrome (ORS) occurs when residual ovarian tissue after bilateral salpingo-oophorectomy (BSO) causes pelvic pain or a mass. Surgical excision is the recommended treatment for this condition.
Area of Science:
- Gynecology
- Reproductive Medicine
- Surgical Pathology
Background:
- Ovarian remnant syndrome (ORS) is a complication following bilateral salpingo-oophorectomy (BSO), where residual ovarian tissue persists.
- This remnant tissue can lead to significant pelvic pain or the development of a pelvic mass.
- Risk factors include endometriosis, pelvic inflammatory disease, and prior pelvic surgeries.
Purpose of the Study:
- To describe the clinical presentation and management strategies for patients diagnosed with ORS.
- To review the existing literature on ovarian remnant syndrome.
- To highlight diagnostic criteria and treatment outcomes for ORS.
Main Methods:
- Case series presentation of patients with ORS.
- Review of published literature on ovarian remnant syndrome.
- Histologic confirmation of ovarian tissue in surgically excised remnants.
Main Results:
- Patients commonly present with chronic pelvic pain, a pelvic mass, or both.
- Definitive diagnosis requires a history of BSO and histological evidence of ovarian tissue.
- Surgical excision, via laparotomy or laparoscopy, is the standard treatment.
Conclusions:
- ORS is a recognized complication of BSO, presenting with pelvic pain or masses.
- Accurate diagnosis relies on clinical history and histological confirmation.
- Surgical intervention remains the primary and effective treatment for ovarian remnant syndrome.
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