Clinical, sub-clinical characteristics and treatment of ovarian mucinous tumors at the National Hospital of Obstetrics and Gynecology

Nguyen Thi Nga, Nguyen Quoc Tuan, Le Thi Huong Lan, Nguyen Thanh Tung

Main Article Content

Abstract

Ovarian mucinous tumors represent a wide range of neoplastic disorders. Mucinous tumor is a type of ovarian tumor that is easy to recur and has the potential for dangerous complications if it is not properly treated even if it is benign. A retrospective study of 240 medical records of patients with ovarian mucinous tumors who had undergone surgery has revealed that 74.6% are benign mucinous neoplasms, 10.4% are borderline, 15.0% are malignant; age group ≥ 50 years old have a high rate of malignancy 25.0%. Symptoms of abdominal pain was common in 48.5%, rapid increase of abdomen size and weight loss were signs of malignancy. Ovarian mucinous tumors with high rate of malignancy were characterized by bilateral, size from 16-20 cm, limited or non-motile, solid density, and firm. On ultrasound, the mixed echo image has a malignancy rate of 63.0%. 72.2% of benign mucinous tumors have a high success rate of laparoscopic surgery, while 61.1% of malignant tumors were often excized by open abdominal surgery. In surgery, the rate of tumor removal was 33.3%, general ovary removal was 66.3%. Good treatment results: 78.7%.

Article Details

References

1. Coudane H, Goutallier D. Pathologie de la coiffe des rotateurs. In: Traité d’Appảeil Locomoteur. Elsevier. ; 1997.
2. Lafosse L, Jost B, Reiland Y, Audebert S, Toussaint B, Gobezie R. Structural integrity and clinical outcomes after arthroscopic repair of isolated subscapularis tears. J Bone Joint Surg Am. 2007;89(6):1184 - 1193. doi:10.2106/JBJS.F.00007
3. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86(2):219 - 224. doi:10.2106/00004623 - 200402000 - 00002
4. Fealy S, Kingham TP, Altchek DW. Mini - open rotator cuff repair using a two - row fixation technique: outcomes analysis in patients with small, moderate, and large rotator cuff tears. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2002;18(6):665 - 670. doi:10.1053/jars.2002.32589
5. Lo IKY, Burkhart SS. Double - row arthroscopic rotator cuff repair: re - establishing the footprint of the rotator cuff. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2003;19(9):1035 - 1042. doi:10.1016/j.arthro.2003.09.036
6. Kirkley A, Griffin S, Dainty K. Scoring Systems for the Functional Assessment of the Shoulder. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2004;19:1109 - 1120. doi:10.1016/j.arthro.2003.10.030
7. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double - row rotator cuff repair. A prospective outcome study. J Bone Joint Surg Am. 2007;89(5):953 - 960. doi:10.2106/JBJS.F.00512
8. Denard PJ, Jiwani AZ, Lädermann A, Burkhart SS. Long - term outcome of arthroscopic massive rotator cuff repair: the importance of double - row fixation. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2012;28(7):909 - 915. doi:10.1016/j.arthro.2011.12.007
9. Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single - row versus double - row rotator cuff repair: a systematic review and meta - analysis of level I randomized clinical trials. J Shoulder Elbow Surg. 2014;23(4):586 - 597. doi:10.1016/j.jse.2013.10.006
10. Zwolak P, Meyer P, Molnar L, Kröber M. The functional outcome of arthroscopic rotator cuff repair with double - row knotless vs knot - tying anchors. Arch Orthop Trauma Surg. Published online August 25, 2020. doi:10.1007/s00402 - 020 - 03584 - 3
11. Abdelshahed M, Mahure SA, Kaplan DJ, et al. Arthroscopic Rotator Cuff Repair: Double - Row Transosseous Equivalent Suture Bridge Technique. Arthrosc Tech. 2016;5(6):e1297 - e1304. doi:10.1016/j.eats.2016.07.022
12. Ohzono H, Gotoh M, Nakamura H, et al. Effect of Preoperative Fatty Degeneration of the Rotator Cuff Muscles on the Clinical Outcome of Patients With Intact Tendons After Arthroscopic Rotator Cuff Repair of Large/Massive Cuff Tears. Am J Sports Med. 2017;45(13):2975 - 2981. doi:10.1177/0363546517724432
13. Burkhart SS, Barth JRH, Richards DP, Zlatkin MB, Larsen M. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2007;23(4):347 - 354. doi:10.1016/j.arthro.2006.12.012
14. Burkhart SS, Koo S. Large to massive rotator cuff tears. In: AANA Advanced Arthroscopy: The Shoulder. Saunders Elsevier; 2010:208 - 221.
15. Park J - Y, Lhee S - H, Choi J - H, Park H - K, Yu J - W, Seo J - B. Comparison of the clinical outcomes of single - and double - row repairs in rotator cuff tears. Am J Sports Med. 2008;36(7):1310 - 1316. doi:10.1177/0363546508315039
16. Fang J - H, Dai X - S, Yu X - N, et al. Lesions of the Long Head of the Biceps Tendon Concomitant with Rotator Cuff Tears: Tenotomy or Subpectoral Mini - open Tenodesis? A Comparative Short to Mid - term Follow - up Study. Orthop Surg. 2019;11(5):857 - 863. doi:10.1111/os.12536
17. Lee H - J, Jeong J - Y, Kim C - K, Kim Y - S. Surgical treatment of lesions of the long head of the biceps brachii tendon with rotator cuff tear: a prospective randomized clinical trial comparing the clinical results of tenotomy and tenodesis. J Shoulder Elbow Surg. 2016;25(7):1107 - 1114. doi:10.1016/j.jse.2016.02.006