OC147:绝经后妇女无症状子宫内膜息肉:超声监测还是手术?

F. Leone, C. Lanzani, T. Bignardi, N. Ciminera, E. Ferrazzi
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引用次数: 0

摘要

并结合手术介入的必要性,将结果与超声诊断研究联系起来。材料和方法:由病理学家(gp . p . Blom)对234名死于非妇科疾病的绝经后妇女的卵巢进行前瞻性和连续性检查,以确定是否有囊性结构。结果比较了最近的超声研究附件囊肿。结果:卵巢囊肿发生率为15.4%。在4.7%的女性中发现卵巢旁囊肿。所有的囊肿都是良性的,除了一名妇女,她患有双侧交界型浆液性囊腺瘤。宏观上,交界性囊肿为多房性,平均直径分别为60mm和15mm。结论:结果与诊断性超声检查一致。在21.1%的女性中发现良性卵巢和卵巢旁囊肿,我们认为这应该使妇科医生重新考虑手术干预的必要性,而不是随访。
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OC147: Asymptomatic endometrial polyps in postmenopausal women: sonographic surveillance or surgery?
and relate the results to studies on ultrasound diagnosis in view of necessity of surgical intervention. Material and Methods: Two-hundred and thirty-four ovaries of postmenopausal women, who had died from non-gynaecological diseases, were examined prospectively and consecutively, by the pathologist (G.P. Blom), for cystic structures. The results were compared to recent ultrasound studies of adnexal cysts. Results: Ovarian cysts were found in 15.4% of the women. Paraovarian cysts were found in 4.7% of the women. All cysts were benign, except for one woman, who had bilateral serous cystadenoma of borderline type. Macroscopically the borderline cysts were multilocular with mean diameters of 60 mm and 15 mm, respectively. Conclusions: The results were in agreement with diagnostic ultrasound studies. The fact that we found benign ovarian and paraovarian cysts in 21.1% of the women should in our opinion make the gynecologists reconsider the need for surgical intervention in favor of follow-up.
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