TITLE:
Management of Ovarian Cystic Tumor: Diagnosis, Management, and Its Follow-Up-Case Presentation of Three Patients and Literature Review
AUTHORS:
Babacar Biaye, Jacque Raiga, Moussa Diallo, Reda Jafer, Abdoul Aziz Diouf, Bernard Benoit, Bruno Carbone
KEYWORDS:
Ovarian Cyst Tumor, Diagnosis, Management, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.1,
December
31,
2019
ABSTRACT: The diagnosis and management of ovarian cystic tumor
is sometimes difficult. In this manuscript, we wish to summarize this issue by
showing three cases. Ultrasound and Color Doppler are very useful to diagnose
the presence of this tumor but also to distinguish between benign and
malignant. Pelvic MRI is also a strong tool and is sometimes mandatory. HE4 and
CA125 are often useful as a serum diagnostic marker of malignancy, but not
always so. Recently, laparoscopic management has gained popularity; however, great
caution should be exercised during laparoscopic operative procedures, as this
may lead to intraperitoneal malignant cell spreading/proliferation when the
tumor is malignant. During the surgery of malignant tumor, irrespective of
laparoscopic or laparotomic, intraperitoneal rupture should be avoided. Since
the final diagnosis must be made by histological examination, the patient must
always be informed of this possibility.