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Ovarian tumors in women over 70
G A Goldman1, H Levavi, J Ovadia
1Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tikva, Israel.
Summary
This study evaluated ovarian masses in women over 70, finding surgery justified for adnexal tumors. Routine screening with pelvic exams and ultrasounds is recommended for postmenopausal women.
Area of Science:
- Gynecology
- Oncology
- Geriatric Medicine
Background:
- Ovarian masses are a concern in postmenopausal women.
- Management strategies require careful consideration in older populations.
Purpose of the Study:
- To evaluate the management and outcomes of ovarian masses in women over 70.
- To assess the role of surgical intervention in this demographic.
Main Methods:
- Retrospective review of 38 women over 70 with adnexal masses.
- Analysis of presenting signs, diagnostic methods, and surgical outcomes.
Main Results:
- Seven cases (18.4%) of malignant ovarian tumors were identified.
- Abdominal pain was the most frequent symptom (11 cases).
- Ultrasound detected masses more effectively than routine pelvic exams (30 vs. 8 cases).
- Postoperative complications were infrequent.
Conclusions:
- Routine annual pelvic examinations and ultrasound scans are advisable for all postmenopausal women.
- Surgical intervention is justified for all adnexal tumors in women over 70, given favorable outcomes.
- Early detection and timely intervention are crucial for managing ovarian masses in elderly women.