[Diagnosis and endoscopic therapy of cystic adnexa tumors]

Between July 1, 1990 and July 31, 1992, altogether 81 female patients were operated on endoscopic surgery, diagnosis was: cystic adnex tumour. Of the overall number of patients with the same diagnosis, which ran up to 110, those 81 made up roughly 75 per cent. If the patient was under 45 years old, the organ was saved, if the patient was more than 45 years old, an adnexectomy was carried out. For the time being patients are chosen for an endoscopic operation on the basis of the results of a preoperational vaginal ultrasound examination. In the beginning one patient showed a cystic tumour of the borderline type in the pathologic anatomy examination. With all other patients the histology showed that the original statement of a benign tumour was right. There was no age limit. The youngest patient was 16 years old, the oldest 82 years old. Both patients were diagnosed the same plain ovarian cyst. Furthermore, the size of the cystic adnex tumour did not primarily keep us from applying the endoscopic operational treatment. A preoperative determination of the tumourmarker 12-5 does not seem to be useful. There was no case of a premalign or malign process going along with a preoperative increase.