Management of giant ovarian teratoma: A case series and review of the literature

  • Authors:
    • Long-Yun Ye
    • Jing-Jing Wang
    • Da-Ren Liu
    • Guo-Ping Ding
    • Li-Ping Cao
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  • Published online on: July 9, 2012     https://doi.org/10.3892/ol.2012.793
  • Pages: 672-676
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Abstract

The management of ovarian teratomas in normal conditions is well established, but in rare giant cases (tumor diameter over 15 cm), the choice of management, such as laparotomic or laparoscopic approaches, are controversial and may be therapeutically challenging for surgeons. The aims of the current study were to analyze the clinical features of giant ovarian teratoma and to discuss its management. The clinical data of 330 patients with giant ovarian teratoma (of whom 1 patient was treated by the authors and 329 were admitted to the Second Affiliated Hospital of Zhejiang University Medical College between January 1st 2000 and December 31st 2010) were reviewed and analyzed. The patients had an age range of 6 to 83 years and a mean tumor size of 24.9±7.1 cm. Of the 330 patients, 102 (30.9%) were asymptomatic and the majority (69.1%, 228/330) reported symptoms. There were more patients in the laparotomic group than the laparoscopic group, especially for the emergency cases (5.5 vs. 0%, P<0.05). Accidental cyst rupture was more frequent when a laparoscopic approach was used (31.5 vs. 19.6%, P<0.05). These results suggest that laparotomic resection may be preferred for the en bloc mass removal, adequate abdominal cavity irrigation and avoidance of accidental mass rupture in the management of giant ovarian teratomas. Familiarity with the imaging features of giant ovarian teratomas effectively aids preoperative diagnosis and differentiation.
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October 2012
Volume 4 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Ye L, Wang J, Liu D, Ding G and Cao L: Management of giant ovarian teratoma: A case series and review of the literature. Oncol Lett 4: 672-676, 2012.
APA
Ye, L., Wang, J., Liu, D., Ding, G., & Cao, L. (2012). Management of giant ovarian teratoma: A case series and review of the literature. Oncology Letters, 4, 672-676. https://doi.org/10.3892/ol.2012.793
MLA
Ye, L., Wang, J., Liu, D., Ding, G., Cao, L."Management of giant ovarian teratoma: A case series and review of the literature". Oncology Letters 4.4 (2012): 672-676.
Chicago
Ye, L., Wang, J., Liu, D., Ding, G., Cao, L."Management of giant ovarian teratoma: A case series and review of the literature". Oncology Letters 4, no. 4 (2012): 672-676. https://doi.org/10.3892/ol.2012.793