Evaluation of Patients with Adnexal Masses in the Middle and Late Adolescent Age Group in a Tertiary Care Center

N.A.

Makale detayları

Evaluation of Patients with Adnexal Masses in the Middle and Late Adolescent Age Group in a Tertiary Care Center

Yazarlar:

N.A.

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349728

pISSN:

0365-8104

Anahtar kelimeler:

Özet:

 Objectives: Although adnexal masses are an essential reason for gynecological surgeries in adolescents, early diagnosis and treatment are essential for preserving fertility. This study aimed to analyze the clinical features, treatment management, and histopathological results of patients with adnexal masses in a tertiary care center in the middle and late adolescent age group. Materials and Methods: Adolescent patients with adnexal masses were evaluated retrospectively between January 2015 and December 2019. Patients were classified as middle 15-17 years and late 18-21 years adolescents. Patients complaints, diagnoses, mass diameters and locations, treatment methods, surgery characteristics, and histopathological results were compared. Results: A total of 141 patients in the middle adolescence n20 and late adolescence groups n121 were included in the study. Abdominal pain 70.9, abdominal distension 11.3, and menstrual disorders 7.1 were the most common symptoms in the entire population. It was determined that 51.9 of the masses were benign neoplastic tumors, and 1.9 were malignant tumors. Surgery was not considered in 24.8 of the patients. Of the operated adolescents, 65 underwent laparoscopy, and 95.3 n101 underwent ovarian-preserving surgery. The most common histopathological diagnoses were benign serous cysts 18.9, mature cystic teratoma 18.9, and hemorrhagic cysts 17. The laparoscopic surgery rate was significantly higher in the late adolescent group p0.024. The operated patients average mass size was significantly higher p0.001. Conclusion: The malignancy rate is low in patients with early and late adolescent adnexal masses. In the management of these patients, minimally invasive methods and ovarian protective interventions are essential in preserving fertility. Keywords: Adnexal neoplasm, adolescent, fertility, laparoscopy, ovarian cancer.

 Objectives: Although adnexal masses are an essential reason for gynecological surgeries in adolescents, early diagnosis and treatment are essential for preserving fertility. This study aimed to analyze the clinical features, treatment management, and histopathological results of patients with adnexal masses in a tertiary care center in the middle and late adolescent age group. Materials and Methods: Adolescent patients with adnexal masses were evaluated retrospectively between January 2015 and December 2019. Patients were classified as middle 15-17 years and late 18-21 years adolescents. Patients complaints, diagnoses, mass diameters and locations, treatment methods, surgery characteristics, and histopathological results were compared. Results: A total of 141 patients in the middle adolescence n20 and late adolescence groups n121 were included in the study. Abdominal pain 70.9, abdominal distension 11.3, and menstrual disorders 7.1 were the most common symptoms in the entire population. It was determined that 51.9 of the masses were benign neoplastic tumors, and 1.9 were malignant tumors. Surgery was not considered in 24.8 of the patients. Of the operated adolescents, 65 underwent laparoscopy, and 95.3 n101 underwent ovarian-preserving surgery. The most common histopathological diagnoses were benign serous cysts 18.9, mature cystic teratoma 18.9, and hemorrhagic cysts 17. The laparoscopic surgery rate was significantly higher in the late adolescent group p0.024. The operated patients average mass size was significantly higher p0.001. Conclusion: The malignancy rate is low in patients with early and late adolescent adnexal masses. In the management of these patients, minimally invasive methods and ovarian protective interventions are essential in preserving fertility. Keywords: Adnexal neoplasm, adolescent, fertility, laparoscopy, ovarian cancer.

 Objectives: Although adnexal masses are an essential reason for gynecological surgeries in adolescents, early diagnosis and treatment are essential for preserving fertility. This study aimed to analyze the clinical features, treatment management, and histopathological results of patients with adnexal masses in a tertiary care center in the middle and late adolescent age group. Materials and Methods: Adolescent patients with adnexal masses were evaluated retrospectively between January 2015 and December 2019. Patients were classified as middle 15-17 years and late 18-21 years adolescents. Patients complaints, diagnoses, mass diameters and locations, treatment methods, surgery characteristics, and histopathological results were compared. Results: A total of 141 patients in the middle adolescence n20 and late adolescence groups n121 were included in the study. Abdominal pain 70.9, abdominal distension 11.3, and menstrual disorders 7.1 were the most common symptoms in the entire population. It was determined that 51.9 of the masses were benign neoplastic tumors, and 1.9 were malignant tumors. Surgery was not considered in 24.8 of the patients. Of the operated adolescents, 65 underwent laparoscopy, and 95.3 n101 underwent ovarian-preserving surgery. The most common histopathological diagnoses were benign serous cysts 18.9, mature cystic teratoma 18.9, and hemorrhagic cysts 17. The laparoscopic surgery rate was significantly higher in the late adolescent group p0.024. The operated patients average mass size was significantly higher p0.001. Conclusion: The malignancy rate is low in patients with early and late adolescent adnexal masses. In the management of these patients, minimally invasive methods and ovarian protective interventions are essential in preserving fertility. Keywords: Adnexal neoplasm, adolescent, fertility, laparoscopy, ovarian cancer.

 Amaç: Adneksiyel kitleler, adölesanlardaki jinekolojik cerrahilerin önemli bir sebebi olmakla birlikte erken tanı ve tedavi fertilitenin korunması açısından önemlidir. Bu çalışmanın amacı, üçüncü basamak bir merkezdeki orta ve geç adölesan adneksiyel kitleli hastaların klinik özelliklerini ve sonuçlarını analiz etmektir. Gereç ve Yöntem: Ocak 2015 ile Aralık 2019 tarihleri arasında adneksiyel kitle nedeniyle takip edilen adölesan hastalar retrospektif olarak değerlendirildi. Hastaların şikayetleri, tanıları, kitle çapları ve yerleşimleri, tedavi yöntemleri, operasyonların özellikleri ve histopatolojik sonuçlar karşılaştırıldı. Bulgular: Orta adölesan n20 ve geç adölesan grupta n121 toplam 141 hasta çalışmaya dahil edildi. Tüm popülasyonda karın ağrısı 70,9, karında şişlik 11,3 ve menstrüel bozukluklar 7,1 en sık semptomlar idi. Kitlelerin 51,9unun benign neoplastik tümör ve 1,9unun malign tümör olduğu saptandı. Hastaların 24,8inde operasyon düşünülmedi. Opere edilen adölesanların 65ine laparoskopi, 95,3üne n101 over koruyucu cerrahi uygulandı. En sık histopatalojik tanılar benign seröz kist 18,9 ve matür kistik teratom 18,9 ve hemorajik kist 17 idi. Geç adölesan grupta laparoskopik cerrahi oranı anlamlı olarak yüksek saptandı p0,024. Opere edilen hastaların kitle boyutları anlamlı olarak yüksek saptandı p0,001. Sonuç: Erken ve geç dönem adölesan adneksiyel kitleli hastalarda malignite oranı düşüktür. Adölesan adneksiyel kitleli hastaların yönetiminde minimal invazif yöntemler ve over koruyucu müdahaleler fertilitenin korunmasında önemlidir. Anahtar Kelimeler: Adneksiyel neoplasm, adölesan, fertilite, laparoskopi, over kanseri.

Makale detayları

Evaluation of Patients with Adnexal Masses in the Middle and Late Adolescent Age Group in a Tertiary Care Center

Yazarlar:

N.A.

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349728

pISSN:

0365-8104

Adnexal neoplasm

adolescent

fertility

laparoscopy

ovarian cancerAdneksiyel neoplasm

adölesan

fertilite

laparoskopi

over kanseri

Sayı

Makale detayları

Yazarlar: N.A.

Yayıncı: Ankara University

Ana Başlıklar: Anaesthesiology

Dergi: Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.344-350

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001349728

pISSN: 0365-8104

Sayı

Yazarlar:

N.A.

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 4, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349728

pISSN:

0365-8104