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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2019, Number 09

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Ginecol Obstet Mex 2019; 87 (09)

Correlation of the torsion of ovarian neoplasia with its histological lineage

Rodríguez-Guajardo R, González Alcántara-Cáceres S, Vázquez-Rojas KE
Full text How to cite this article

Language: Spanish
References: 6
Page: 590-593
PDF size: 221.26 Kb.


Key words:

Ovarian torsion, Tumor, Ovary, Histology, Malignancy.

ABSTRACT

Objective: To correlate the incidence of ovarian torsion with its benignity.
Materials and Methods: Ambispectic, observational, retrospective and comparative study from 2011 to 2016 in Hospital Universitario José Eleuterio González with patients who presented adnexal tumors with torsion phenomenon. We analized each case related to the patients age, size and weight of the tumor, incidence of necrosis and suggestive data of malignancy. The characteristics of each group were analized with ANOVA test.
Results: We studied 44 patients that presented adnexal tumors with torsion phenomenon; 4 cases were not classified because of necrosis. In 36 of 40 tumors were classified as benign. The average weight of the benign adnexal tumors was 445 grams, of the malign ones was 1650 and the ones affected by necrosis was 167 grams. Throughout the period of the investigation there were 704 cases of patients with adnexal tumors, from these 218 were malign (31%) and 486 were benign (69%). From these 704 patients, 44 presented torsion phenomenon (6.2%).
Conclusion: Most tumors with ovarian torsion phenomena are usually benign. The weight of the tumor with a torsion phenomenon greater than 1500 g is suggestive of malignancy, relevant data for suspicion in a transoperative manner.


REFERENCES

  1. Takeda A, et al. Laparascopic management of ovarian dysgerminoma presenting with acute abdomen caused by adnexal torsión in 17-year-old girl. J Pediatr Adolesc Gynecol 2009;22:9-13. DOI: 10.1016/j.jpag.2007.12.009.

  2. Wong SWA, et al. Isolated Fallopian tube torsión: a series of six cases. Acta Obstetricia et Gynecologica. 2010;89:1354- 6. DOI: 10.3109/00016349.2010.503870.

  3. Maita Q, et al. Diagnóstico en Torsión de Pedículo de Quiste Anexial en Ginecología. Gaceta Méd Boliviana 2011;34(1):30- 33. http://www.scielo.org.bo/scielo.php?script=sci_ arttext&pid=S1012-29662011000100007&lng=es&tlng=es.

  4. Becker J, et al. Torsión of the ovary: a known but frequently missed diagnosis. Eur J Emerg Med 2009;16: 124-9. DOI: 10.1097/MEJ.0b013e32831cbaf8

  5. Wang J, et al. Predominant etiology of adnexal torsión and ovarian outcome after detorsión in premenarchal girls. Eur J Pediatr Surg 2010;20:298-301. DOI: 10.1055/s- 0030-1254110

  6. Cañete M, et al. Masas pélvicas: Actitud en Urgencias. Urg en Gynecol y Obstet: Aprox a la Med Basada en la Evidencia. 2007. 40: 646.




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Ginecol Obstet Mex. 2019;87