Epithelial ovarian tumors diagnostic study of choice
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Differentiating Epithelial Ovarian Tumors from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hannan Javed, M.D.[2]
Overview
Histology of the excised tumor after surgery is the gold standard test for the diagnosis of ovarian tumors. Surgery must be performed when the patient presents with an adnexal mass in the abdominal/pelvic exam and elevated serum concentration of associated tumor markers. Some may be diagnosed using ultrasonographic imaging. However, the tumor should be removed surgically.
Diagnostic Study of Choice
Histology of the excised tumor after surgery is the gold standard test for the diagnosis of ovarian epthelial tumors.[1][2]
- Surgery must be performed when:
- The patient presents with an adnexal mass in the abdominal/pelvic exam, and elevated serum concentration of hCG, LDH, AFP, and other associated tumor markers.
- The tumor should be removed surgically.
| Epithelial ovarian tumor | |||||||||||||||||||||||||||||||||||||||||||||||||
| Prior surgery | Initial surgery | ||||||||||||||||||||||||||||||||||||||||||||||||
| Complete staging | Incomplete staging | Fertility sparing prefered | Fertility sparing not prefered | ||||||||||||||||||||||||||||||||||||||||||||||
| Treatment based on the staging | Imaging: Chest/ abdomen/ pelvis CT with contrast | Fertility sparing surgery and complete staging | Surgery to stage | ||||||||||||||||||||||||||||||||||||||||||||||
| Treatment based on the staging and pathology of tumor | |||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Pectasides, D.; Pectasides, E.; Kassanos, D. (2008). "Germ cell tumors of the ovary". Cancer Treatment Reviews. 34 (5): 427–441. doi:10.1016/j.ctrv.2008.02.002. ISSN 0305-7372.
- ↑ Low, Jeffrey J.H.; Ilancheran, Arunachalam; Ng, Joseph S. (2012). "Malignant ovarian germ-cell tumours". Best Practice & Research Clinical Obstetrics & Gynaecology. 26 (3): 347–355. doi:10.1016/j.bpobgyn.2012.01.002. ISSN 1521-6934.