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The pelvic mass. Patients' ages and pathologic findings
1Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
The Journal of Reproductive Medicine
|April 1, 1988
Summary
This study analyzed pelvic masses in 100 women, finding cancer more common in older women. Younger women with malignant pelvic masses had tumors with lower malignant potential.
Area of Science:
- Gynecologic Oncology
- Pathology
- Reproductive Medicine
Background:
- Pelvic masses are common in women.
- Age is a significant factor in the diagnosis of pelvic masses.
- Understanding age-related prevalence of specific pelvic mass pathologies is crucial for clinical management.
Purpose of the Study:
- To analyze the pathologic findings of pelvic masses in women.
- To determine the age-specific incidence of different pelvic mass diagnoses.
- To provide data for diagnostic probability assessment in women with pelvic masses.
Main Methods:
- Retrospective analysis of 100 women undergoing laparotomy for pelvic mass.
- Data collected between August 1983 and September 1986.
- Pathologic findings were categorized by age groups.
Main Results:
- Cancer was diagnosed in 56% of women aged 50 years or older.
- Endometriosis was most frequent in women aged 31-49 (27%), and benign cystic teratoma in women aged 30 or younger (33%).
- Malignancy was significantly higher in women over 50 (56%) compared to those under 30 (10%) (P < .01).
Conclusions:
- Age is a critical determinant in the likelihood of malignancy for pelvic masses.
- Malignant tumors in younger women (<30 years) were more likely to have low malignant potential.
- This data aids clinicians in estimating diagnostic probabilities for pelvic masses based on patient age.