在患有粘膜性卵巢瘤的患者中,尾异常的术内预测因素
Melissa Lavecchia1,2, Anisha Dubey3, Waldo Jimenez1,2
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
概括
在手术期间对尾进行评估,对患有粘膜性卵巢瘤的患者尾病理的预测价值有限. 尾切除术建议在所有粘膜性卵巢瘤病例中进行,不论手术内发现情况如何.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术病理学手术病理学
- 卵巢新生体的发生.
背景情况:
- 粘性卵巢瘤经常需要手术干预.
- 同时尾切除术通常是在尾质群的手术期间进行的.
- 在手术过程中预测尾病理对于手术决策至关重要.
研究的目的:
- 评估预测尾病理的手术内因素.
- 评估冷切口的实用性和外科医生的印象,以确定尾异常.
- 在怀疑粘膜性卵巢瘤的情况下指导手术管理.
主要方法:
- 对225名患有粘膜性卵巢瘤的患者进行了回顾性研究,这些患者接受了手术和尾切除 (2000年至2018年).
- 分析手术期间的因素,包括卵巢质量的冷部分和外科医生的尾评估.
- 回归分析以确定这些因素对尾病理的预测价值.
主要成果:
- 77.8%的患者在最终病理上有一个正常的尾.
- 异常的尾包括转移 (n=1),神经内分泌瘤 (n=4) 和低度尾粘膜性瘤 (n=26).
- 正常的手术内外观和良性/边界结部分具有85.1%的负预测值,其中14.9%被错误分类.
结论:
- 卵巢粘膜瘤的手术内评估和冷切口对尾病理的预测价值有限.
- 建议在所有粘膜性卵巢瘤中进行尾切除和中尾切除.
- 这种方法可以解释潜在的错误分类和罕见的尾瘤.
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