From December 1987 until December 1993, we performed investigate clinicopathologic studies of the ovarian tumors among Korean women. Those were admitted to department of obstetrics and gynecology, Presbyterian Medical Center during the period of
about 7
years who operated and confirmed with histopathological study and stastical survey were made on a series of 382 ovavian tumor patients. The ovarian tumors were classified by the W.H.O. classification.
@ES The results were followings:
@EN 1. Among 382 cases, 102 cases (26.84%) were non-neoplastic ovarian tumors, 219 cases (57.35%) were benign ovarian tumors and 55 cases (14.2%) were malignant ovarian tumors.
2. In cases of the benign ovarian tumors, cystic teratoma was most frequently revealed in 114 cases (52.05%), and among the malignant ovarian tumors, serous cyst adenocarcinoma was most frequently revealed in 18 cases (52.94%)
3. The incidence of all ovarian tumors was greatest in third decade. All the mean age of non-neoplastic cyst was 34.2 years, and that benign ovarian tumor was 34.2 years, and that malignant ovarian tumor 41.45 years.
4. The incidence of benign ovarian tumor was greatest in para 0 (30.83%), and that of malignant ovarian tumor was greatest in para 2 (32.7%) and para 3 (18.1%).
5. The regular menstrual cycle was revealed in 62% in all ovarian tumor, and 64.3% in benign tumor and 44% in malignant tumor.
6. The lower abdominal pain was present in 40%, abdominal mass in 27.9% and abdominal distension in 8.46% of all ovarian tumors.
7. The bilaterality was 26 cases (11.8%0 in benign ovarian tumor, and 19 cases (34.5%) in malignant ones, serous cyst adenocarcinoma was frequently revealed in 7 cases (40%) and 3 cases (75%) in krukenberg tumor.
8. The size of benign ovarian tumor was 6~10 cm in 98 cases (44.7%) and that of malignant ovarian tumor was 6~10 cm in 15 cases (29%).
9. The surgical treatment of benign ovarian tumor was unilateral salphingooophorectomy in 114(52%) and bilateral salphingooophorectomy and total abdominal hysterectomy in 46 (21%) and unilateral salphingooophorectomy and total abdominal
hysterectomy in
56(25.5%). And the surgical treatment of malignant ovarian tumor was total abdominal hysterectomy and bilateral salphingooophorectomy in 49%, total abdominal hysterectomy and bilateral salphingooophorectomy and omentectomy in 20%, total abdominal
hysterectomy and unilateral salphingooophorectomy in 5.4%, besides surgical treatment, chemotherapy and radiotherapy were performed.
|