Of all the gynecologic cancers, ovarian malignancies represent the greatest clinical challenge. Epithelial ovarian cancers are the most common ovarian malignancies and because they are usually asymptomatic until they have metastasized, patients
present
with advanced disease on more than ⅔ of the cases.
The author have studied forty-five cases of epithelial ovarian cancers in sixty-one cases of malignant ovarian tumors from january 1985 through october, 31, 1995.
@ES The result of this study were summarize as follows:
@EN 1) Among 245 cases of the ovarian tumors, malignant ovarian tumors were 61 cases(24.89%) and of which 45 cases(73.8%) were epithelial origins and of which 6 cases(9.8%) were metastatic origins.
2) The prevalent age group of the epithelial ovarian cancer was 4th decade and mean age was 45.1±17.6 years.
3) The clinical manifestations were palpable abdominal mass, 19 cases942.4%), lower abdominal discomfort or pain, 15 cases(33.3%), abdominal distension, 11 cases(24.4%), menstrual irregularities, 3 cases(6.7%)weight loss, 1 case(2.2%) and
urinary
frequancy, 1 case(2.2%).
4) Among 45 cases of epithelial ovarian cancer, mucinous cyst adenocarcinoma 21 cases (46.6%) were the most common and followed by serous cystadenocacinoma 17 cases(37.7%), endometrioid adeno carcinoma 3 cases(6.7%), malignant Brenner tumor 2
cases(4.4%), clear cell carcinomas l case92.2%), and undifferentiated carcinmas l case(2.2%).
5) Mean size of tumors was 14±6.78cm in diameter, bilaterality of the tumors was 2.2%.
6) The most surgical treatment were total abdominal hysterectomy, bilateral salpingoophorectomy, omentectomy and debulking tumor resection 24 cases(53.2%), but unilateral salpingo-oophorectomy was the frequent method of surgery 14 cases (53.3%),
but
unilateral salpingo-oophorectomy was the freqnent method of surgery 14 cases(31.1%) due to under diagnosis of the tumors and preservation of fertility in cases of gross malignant lesions.
7) For clinical stages, stage l was 23 cases(51.1%), stage II was 4 cases (8.88%), stage III was 7 cases (15.5%) and stage IV was 9 cases(20%).
8) Cytology of the ascites or peritoneal washing revealed that class I and class II were 12 cases(57.1%) and more than class IV were 9 cases(42.9%).
|