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2020, Number 3

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Rev Med UAS 2020; 10 (3)

Conservative surgical management of mature cystic teratoma and risk of recurrence

García-Verdugo M, Quevedo-Castro E, Morgan-Ortiz F, Conde-Romero J, López-Manjarrez G, Báez-Barraza J

Language: Spanish
References: 34
Page: 157-170
PDF size: 125.39 Kb.


ABSTRACT

Mature cystic teratomas, also called dermoid cysts, are the most common ovarian neoplasms, representing 30% of benign ovarian tumors. Generally, mature cystic teratomas affect women in their reproductive age, these cystic teratomas tend to be asyntomatic, (they might cause an acute abdomen in the case or evento of torsion, ruptura or infection) and they are diagnosed by pelvic or transvaginal ultrasounds. Additionally, fot it´s differential diagnosis, tumor markers can be used, howeber, it´s last diagnosis is histopathological.
Mature cystic teratomas´ treatment usually consist in ovarian-conserving surgery (cystectomy). In other words, excision of the mature cystic teratoma as first-line treatment. However, in some cases it may be necessary the use of oophorectomy, however, this treatment is generally not recommended in patients in their reproductive age.
According to quantitative data, it has been found that the postoperative recurrence rate isa round 3-4%, which has been associated with clinical factors, such as bilateral lesions, woman´s middle age or younger and a teratoma sice greater than 8 centimeters. It is important to know these facts previously mentioned to accomplish a better postoperative control and an early detection of recurrence.


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