A Retrospective Analysis Of 7 Cases Unexpected Ovarian Malignancy Found Operative Laparoscopy

Objective: To assess the characteristics,preoperative examination,intraoperative,postoperative management and implication for prognosis of the unexpected ovarian malignancy found during operative laparoscopy.Methods: A total of 668 patients with benign ovarian mass were treated by laparoscopy at Gynaecology of Hebei Midical University NO.4 Hospital from February 2005 to February 2010.Their clinical data were reviewed retrospectively.All the ovarian masses suspicious of malignancy at the time of laparoscopy were sent for frozen section evaluation intraoperatively.The cases of unexpected ovarian malignancy found operative laparoscopy were investigated.A retrospective analysis was made referring to printed literature.Results: 7 ovarian tumors were subsequently found to be malignant out of the 668 patients.Among which 5 were diagnosed intraoperatively and 2 postoperatively.The final pathological diagnosis were epithelial ovarian cancer in 5 and sex cord-stromal tumors of ovary in 2. 1 of the 7 malignant cases,staging laparotomy was performed immediately,and in 2 of the 7 cases,frozen sections were negative ,and the patients were treated initially by laaroscopic adnexectomy.And in another 2 of 7 cases,a subsequent staging laparotomy was performed after the final pathology report,with delay of 9 day and 32 day respectively.Conclusions: Improve preoperative examination, accurate preoperative evaluation and appropriate management may help to reduce the possibility of encountering an unexpected malignancy when approaching an ovarian cyst by laparoscopy .