Opere edilen 51 fibrom/fibrotekom vakasının klinikopatolojik bulgularının değerlendirilmesi

Amaç: Over kaynaklı fibrom/fibrotekomlar benign neoplazmlardır. Bu çalışmada amacımız opere edilen fibrom/fibrotekom vakalarının klinik bulguları, demografik özellikleri, cerrahi yaklaşımları ve histopatolojik sonuçlarıyla değerlendirmektir.Gereç ve Yöntem: Bu retrospektif çalışmada adneksiyel kitle ön tanısı ile opere edilen ve patoloji sonucu fibrom/fibrotekom olan 51 vaka analiz edildi.Bulgular: Hastaların yaş ortalaması 58,7, tümör çapı ortalama 8,23 cm idi. Nihai patoloji sonuçlarında fibrom, fibrotekom, seluler mitotik fibrom oranları sırasıyla %45, %35, %13,7 idi. Vakaların 6 (%11,7) inde asit izlendi. Ca-125 seviyesi 12 (%23,5) vakada yüksek saptandı. 11 (%21,6) vakaya laparoskopi, 40 (%78,4) vakaya laparotomi yapıldı.Sonuç: Over kaynaklı fibrom/fibrotekomlar nadir, benign solid tümörlerdir. Solid olmasından dolayı myomlarla ve bazende Ca-125 yüksekliği ile seyrettiğinden malignensilerle karışabilirler. Hastalar laparoskopi veya laparotomi ile başarılı olarak tedavi edilirler.

Anahtar Kelimeler:

Jinekolojik onkoloji, Ovarian fibroma, Fibrotekoma

Clinicopathological analysis and surgical approach of ovarian fibroma/fibrothecoma with 51 cases

Aim: Ovarian fibroma, fibrothecoma and thecoma are benign neoplasia of the ovary. The aim of this study is to analyze the clinical characteristics, histopathological results and surgical management of ovarian fibroma/fibrothecoma.Materials and Methods: This is a retrospective study of 51 cases who underwent surgical treatment because of adnexial mass. The cases reported as ovarian fibroma/fibrothecomas were analyzed.Results: The mean age of patients were 58.7 years old. The avarage diameter of tumours was 8.23 cm. The final pathological results were fibroma, fibrothecoma, celluler mitotic fibroma, respectively 45.2%, 35.3%, 13.7%. Ascite was viewed in 6 (11.7%) cases. Ca-125 levels were high in 12 cases (23.5%). 11(21.6%) patients underwent laparoscopy and 40 (78.4%) underwent laparotomy.Conclusion: Ovarian fibroma/fibrothecomas are rarely, benign solid tumors. They can be mistaken as myoma or malignancy because of the apperance of tumor with high level Ca-125. These tumors can be treated succesfully by laparoscopy or laparotomy.

Keywords:

Gynecologic oncology, Ovarian fibroma, Fibrothecoma,

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