Showing papers by "József Bódis published in 1998"
TL;DR: Although the numbers are small, it is concluded that, even with wider criteria of benignity, malignant masses did not occur and the meno-pausal status of the patient, the size or bilateral character of the cyst, or the heterogeneous appearance of the adnexal mass at ultrasound are insufficient grounds to indicate malignacy for an ovarian mass.
Abstract: Laparoscopic management of ovarian cysts in a Hungarian county hospital Dear Sir, We read with special interest, the paper by Chapron et al. (1998), about the diagnostic methods in the management of ovarian cysts, with special reference to the application of frozen sections. In our practice, a high portion of adnexal masses is managed by laparoscopy. Consecutive steps of the diagnostic approach comprise bimanual pelvic palpation, transvaginal ultrasound, CA-125 antigen value and diagnostic laparoscopy. Cases suspected of malignancy are managed by laparotomy. These include immobile masses that have nodular surface, non-homogeneous echo-structure on ultrasound scan with solid parts or endovegetation, cases with CA-125 concentrations of Ͼ35 µg/ml and masses assessed by laparoscopy to have abnormal vessels and/or uneven rough capsular surface. We do not routinely consider cystic masses, a priori, to be malignant if they are detected in menopause, are bilateral or are Ͼ5 cm in diameter. We have attempted laparoscopic cystectomy or adnexectomy with success in several of those cases as well. we carried out laparoscopy due to cystic adnexal mass in 39 cases. In seven cases, we returned to laparotomy and or minilaparotomy because of bowel adhesions and/or adherence. In 32 cases, the cysts were removed via laparoscopy; histological tests demonstrated benign changes in all cases. One endometriosis, eight parovarial cysts, and 32 simplex cyst were diagnosed (both cyst types were present in one patient at the same time). No frozen sections were made. Although our numbers are small, we conclude that, even with wider criteria of benignity, malignant masses did not occur. (1994) Laparoscopic diagnosis of adnexal cystic masses: a 12-year experience with long-term follow-up. management of ovarian cysts: is there a place for frozen section diagnosis? The risk of malignancy with an apparently simple adnexal cyst on ultrasound. Arch. It was with considerable interest that we read the comments by Varga et al. (1998) following the publication of our paper on the place of frozen section in the laparoscopic management of organic ovarian cysts (Chapron et al., 1998). We entirely agree with Varga et al., when they underline that the meno-pausal status of the patient, or the size or bilateral character of the cyst, or the heterogeneous appearance of the adnexal mass at ultrasound, or a raised concentration of CA-125 are insufficient grounds to indicate malignacy for an ovarian mass. Taken separately, none of these parameters is a formal indication to carry out laparotomy. In daily …