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Analysis of Adnexal Mass in Women with Previous Hysterectomy - An observational study |
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| รหัสดีโอไอ | |
| Creator | Sangam Jha |
| Title | Analysis of Adnexal Mass in Women with Previous Hysterectomy - An observational study |
| Contributor | Anamika Singh, Hemali Heidi Sinha |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2563 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 28 |
| Journal No. | 4 |
| Page no. | 244-250 |
| Keyword | hysterectomy, adnexal mass, adnexal preservation, re-operation |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To characterize the clinicopathological features of adnexal masses arising subsequent to hysterectomy and portion of them requiring re-operation. In addition, average time interval between hysterectomy and diagnosis of adnexal mass was ascertained along with the need of salpingectomyMaterials and Methods: This observational study was conducted on the patients who presented with adnexal mass subsequent to hysterectomy. Data regarding characteristics of lesion, clinical presentation, proportion requiring re-operation and histological nature were analyzed.Results: Over the span of 4 years, 115 women with hysterectomy presented with adnexal mass. 93% of them had index hysterectomy abdominally. Out of this 115 patients, 45 (39%) were kept on follow-up in whom mass had resolved subsequently (expectant group) and 70 (61%) required operation for the cure (re-operation group). Median time interval to diagnosis of adnexal mass was longer in re-operation group (p < 0.001). Patients in re-operation group were more symptomatic (p = 0.011), presented with larger size (p < 0.001) and more complex cyst (p = 0.0001) with higher number of septa (p = 0.007) compared to expectant group. In 74% of patients, mass arose from the ovary and accounted for 72.3% of the benign mass and 100% of malignant mass. In remaining 26%, tube was confirmed as the source of origin. Commonest histological variety was serous cystadenoma.Conclusion: Significant number of adnexal lesion disappeared during follow up. Benign ovarian mass was the predominant lesion in re-operated group. Fallopian tube also contributed prominently in 26%, thus salpingectomy with hysterectomy shall decrease the occurrence of fallopian tube pathology. |
