Artículos de revistas
Criteria For Selection Of Laparoscopy For Women With Adnexal Mass
Journal Of The Society Of Laparoendoscopic Surgeons. Society Of Laparoendoscopic Surgeons, v. 18, n. 3, p. - , 2014.
Objectives: We compared the indication of laparoscopy for treatment of adnexal masses based on the risk scores and tumor diameters with the indication based on gynecology-oncologists’ experience. Methods: This was a prospective study of 174 women who underwent surgery for adnexal tumors (116 laparotomies, 58 laparoscopies). The surgeries begun and completed by laparoscopy, with benign pathologic diagnosis, were considered successful. Laparoscopic surgeries that required conversion to laparotomy, led to a malignant diagnosis, or facilitated cyst rupture were considered failures. Two groups were defined for laparoscopy indication: (1) absence of American College of Obstetrics and Gynecology (ACOG) guideline for referral of high-risk adnexal masses criteria (ACOG negative) associated with 3 different tumor sizes (10, 12, and 14 cm); and (2) Index of Risk of Malignancy (IRM) with cutoffs at 100, 200, and 300, associated with the same 3 tumor sizes. Both groups were compared with the indication based on the surgeon’s experience to verify whether the selection based on strict rules would improve the rate of successful laparoscopy. Results: ACOG-negative and tumors ≤10 cm and IRM with a cutoff at 300 points and tumors ≤10cm resulted in the same best performance (78% success = 38/49 laparoscopies). However, compared with the results of the gynecology-oncologists’ experience, those were not statistically significant. Discussion: The selection of patients with adnexal mass to laparoscopy by the use of the ACOG guideline or IRM associated with tumor diameter had similar performance as the experience of gynecology-oncologists. Both methods are reproducible and easy to apply to all women with adnexal masses and could be used by general gynecologists to select women for laparoscopic surgery; however, referral to a gynecology-oncologist is advisable when there is any doubt.183Hilger, W.S., Magrina, J.F., Magtibay, P.M., Laparoscopic management of the adnexal mass (2006) Clin Obstet Gynecol, 49 (3), pp. 535-548Whiteside, J.L., Keup, H.L., Laparoscopic management of the ovarian mass: A practical approach (2009) Clin Obstet Gynecol, 52 (3), pp. 327-334Medeiros, L.R., Stein, A.T., Fachel, J., Garry, R., Furness, S., Laparoscopy versus Laparotomy for benign ovarian tumor: A systematic review and meta-analysis (2008) Int J Gynecol Cancer, 18, pp. 387-399Medeiros, L.R., Rosa, D.D., Bozzetti, M.C., Laparoscopy versus laparotomy for FIGO stage I ovarian cancer (2008) Cochrane Database Syst Rev, (4)Covens, A.L., Dodge, J.E., Lacchetti, C., Gynecology Cancer Disease Site Group. Surgical management of a suspicious adnexal mass: A systematic review (2012) Gynecol Oncol, 126 (1), pp. 149-156Benedet, J.L., Pecorelli, S., Ngan, H., (2006), http://www.figo.org/publications/stagingclassifications+, Staging Classifications and Clinical Practice Guidelines of Gynecologic Cancers by FIGO Committee on Gynecologic Oncology (chairman Hextan Y.S. Ngan). 3rd ed. Elsevier, Accessed December 2012Van Trappen, P.O., Rufford, B.D., Mills, T.D., Differential diagnosis of adnexal masses: Risk of malignancy index, ultrasonography, magnetic resonance imaging, and radioimmunoscintigraphy (2007) Int J Gynecol Cancer, 17, pp. 61-67Buys, S.S., Partridge, E., Black, A., PLCO Project Team. Effect of screening on ovarian cancer mortality: The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Randomized Controlled Trial (2011) JAMA, 305 (22), pp. 2295-2303Anton, C., Carvalho, F.M., Oliveira, E.I., Maciel, G.A., Baracat, E.C., Carvalho, J., Comparison of CA125, HE4, risk ovarian malignancy algorithm (ROMA), and risk malignancy index (RMI) for the classification of ovarian masses (2012) Clinics (Sao Paulo), 67 (5), pp. 437-441Wahab, N.A., Chalermchockchareonkit, A., Chaisilwattana, P., Mustafa, K.B., Unexpected ovarian malignancy after conservative laparoscopic surgery: Five case series in a half decade of experience (2012) Arch Gynecol Obstet, 285 (6), pp. 1695-1698Huchon, C., Bats, A.S., Bensaïd, C., Prise en charge des masses annexielles organiques: Résultats d’une enquête de pratique (2008) Gynécologie Obstétrique & Fertilité, 36 (11), pp. 1084-1090Chia, Y.N., Marsden, D.E., Robertson, G., Hacker, N.F., Triage of ovarian masses (2008) Aust N Z J Obstet Gynaecol, 48 (3), pp. 322-328Van Den Akker, P.A., Aalders, A.L., Snijders, M.P., Evaluation of the risk of malignancy index in daily clinical management of adnexal masses (2010) Gynecol Oncol, 116 (3), pp. 384-388The role of the generalist obstetrician-gynecologist in the early detection of ovarian cancer (2002) Gynecol Oncol, 87, pp. 237-239. , ACOG Committee on Gynecologic PracticeGostout, B.S., Brewer, M.A., Guidelines for referral of the patient with an adnexal mass (2006) Clin Obstet Gynecol, 49 (3), pp. 448-458Bailey, J., Tailor, A., Naik, R., Risk of malignancy index for referral of ovarian cancer cases to a tertiary center: Does it identify the correct cases? (2006) Int J Gynecol Cancer, 16, pp. 30-34Shiota, M., Kotani, Y., Umemoto, M., Tobiume, T., Hoshiai, H., Study of the correlation between tumor size and cyst rupture in laparotomy and laparoscopy for benign ovarian tumor: Is 10 cm the limit for laparoscopy? (2012) J Obstet Gynaecol Res, 38 (3), pp. 531-534Ghezzi, F., Cromi, A., Bergamini, V., Should adnexal mass size influence surgical approach? A series of 186 laparoscopically managed large adnexal masses (2008) BJOG, 115 (8), pp. 1020-1027Liu, J.H., Zanotti, K.M., Management of the adnexal mass (2011) Obstet Gynecol, 117 (6), pp. 1413-1428Muzii, L., Angioli, R., Zullo, M., Panici, P.B., The unexpected ovarian malignancy found during operative laparoscopy: Incidence, management, and implications for prognosis (2005) J Minim Invasive Gynecol, 12 (1), pp. 81-89. , quiz 90–91Vergote, I., De Brabanter, J., Fyles, A., Prognostic importance of degree of differentiation and cyst rupture in stage I invasive epithelial ovarian carcinoma (2001) Lancet, 357 (9251), pp. 176-182Scully, R.E., Bonfiglio, T.A., Kurman, R.I., Silverberg, S.G., Wilkins, E.J., Histological typing of female genital tract tumors World Health Organization. International Histological Classification of Tumors, p. 1994. , 2nd ed. Berlin: Springer-VerlagTorres, J.C., Derchain, S.F., Faundes, A., Gontijo, R.C., Martinez, E.Z., Rade, L.A., Risk-of-malignancy index in preoperative evaluation of clinically restricted ovarian cancer (2002) Sao Paulo Med J, 120 (3), pp. 72-76R: A language and environment for statistical computing (2011) R Foundation for Statistical Computing, , http://www.R-project.org, R Development Core Team, Vienna, Austria, January 17th, 2013Raza, A., Mould, T., Wilson, M., Burnell, M., Bernhardt, L., Increasing the effectiveness of referral of ovarian masses from cancer unit to cancer center by using a higher referral value of the risk of malignancy index (2010) Int J Gynecol Cancer, 20 (4), pp. 552-554