Laparoscopic management of postmenopausal ovarian endometrial cyst

doi:10.3877/cma.j.issn.1674-6899.2016.01.005

Abstract

Abstract:

Objective

To evaluate the effectiveness and safety of postmenopausal ovarian endometrial cyst.

Methods

From Jun. 2010 to Jun. 2015, there were 31 patients of postmenopausal ovarian endometriosis treated with laparoscopic surgery in our hospital. Clinical data were analyzed retrospectively.

Results

The average age was (55.39 ± 5.81) years old. The average period of menopause was (5.67 ± 5.32) years(95% CI 3.56-7.77).4 patients had the history of EMs, with 3 patients had received surgery. Chief complaint included 29 cases of pelvic mass, 6 cases of chronic pelvic pain, 1 case of postmenopausal vaginal bleeding. Endometriosis were preoperatively considered in 16 cases. All patients underwent radical surgery. Stages of r-AFS were 11 cases of stage Ⅰ and Ⅱ, 20 cases of stage Ⅲ and Ⅳ. The final pathologic findings of 31 cases were endometriosis with leiomyoma in 3 cases, adenomyosis in 5 cases, benign ovarian tumor in 4 cases and ovarian cancer in 3 cases.

Conclusions

Postmenopausal ovarian endometriosis was most likely the persistence of premenopausal endometriosis. Because its clinical picture was atypical, it was often misdiagnosed. The radical surgery was the critical methods for diagnosis and treatment.

Key words: Postmenopause, Endometriosis, Diagnosis, Therapy

Nan Wang, Wensheng Fan, Chenglei Gu, Luyang Zhao, Zhe Zhang, Yuanguang Meng. Laparoscopic management of postmenopausal ovarian endometrial cyst[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 15-18.

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References 19

1	Dietmar H, Radek C, BjRn R, et al. Endometriosis: a premenopausal disease age pattern in 42 079 patients with endometriosis[J]. Archives of Gynecology & Obstetrics, 2012, 286(3): 667-670.
2	Inceboz U. Endometriosis after menopause[J]. Women S Health, 2015, 11(5): 711-715.
3	Wang W, Li R, Fang T, et al. Endometriosis fertility index score maybe more accurate for predicting the outcomes of in vitro fertilisation than r-afs classification in women with endometriosis[J]．Reproductive Biology & Endocrinology, 2013, 11(1): 1-10.
4	顾成磊，张唯一，赵路阳，等. 腹腔镜治疗输尿管子宫内膜异位症的临床分析[J/CD]. 中华腔镜外科杂志：电子版，2015，8(3): 10-13.
5	Chen LC, Hsu JW, Huang KL, et al. Risk of developing major depression and anxiety disorders among women with endometriosis: A longitudinal follow-up study[J]．Journal of Affective Disorders, 2015, 190(1): 282-285.
6	Kodaman PH. Current strategies for endometriosis management[J]. Obstetrics & Gynecology Clinics of North America, 2015, 42(1): 87-101.
7	陈韦君，周静，梁笑倾. 子宫内膜异位症术后GnRH-α反向添加疗法的效果及其对性激素、骨密度的影响[J]．中国妇幼保健，2015，30(4): 513-516.
8	Caruso S, Iraci M, Cianci S, et al. Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest[J]．Journal of Endocrinological Investigation, 2015, 38(11): 1-8.
9	Jeon DS, Kim TH, Lee HH, et al. Endometriosis in a postmenopausal woman on hormonal replacement therapy[J]. Journal of Menopausal Medicine, 2013, 19(3): 151-153.
10	Duru S. Postmenopausal endometriosis: an enigma revisited[J]. J Midlife Health, 2014, 5(4): 163-164.
11	Duru S. Postmenopausal endometriosis - a new dimension[J]. Climacteric the Journal of the International Menopause Society, 2012, 15(5): 507-508.
12	Sun PR, Leng JH, Jia SZ, et al. Postmenopausal endometriosis: a retrospective analysis of 69 patients during a 20-year period[J]. Chinese Medical Journal, 2013, 126(23): 4588-4589.
13	Shen A, Xu S, Ma Y, et al. Diagnostic value of serum CA125, CA19-9 and CA15-3 in endometriosis: a meta-analysis[J]. Journal of International Medical Research, 2015, 43(5): 43.
14	Xiu-Jie Y, Lin Z, Zai-Ping L, et al. Ovarian malignant mixed germ cell tumor with clear cell carcinoma in a postmenopausal woman[J]. International Journal of Clinical & Experimental Pathology, 2014, 7(12): 8996-9001.
15	Garrett LA, Growdon WB, Annekathryn G, et al. Endometriosis-associated ovarian malignancy: a retrospective analysis of presentation, treatment, and outcome[J]. Journal of Reproductive Medicine, 2013, 58(11): 469-476.
16	Burghaus S, Häberle L, Schrauder MG, et al. Endometriosis as a risk factor for ovarian or endometrial cancer－results of a hospital based case control study[J]. Geburtshilfe Und Frauenheilkunde, 2014, 74(1): 1-8.
17	Lee AW, Templeman C, Stram DA, et al. Evidence of a genetic link between endometriosis and ovarian cancer[J]. Fertility & Sterility, 2016, 105(1): 35-43.
18	Li Q, Liu S, Liu H, et al. Significance and implication on changes of serum squamous cell carcinoma antigen in the diagnosis of recurrence squamous cell carcinoma of cervix[J]. Zhonghua Fu Chan Ke Za Zhi, 2015, 50(2): 131-136.
19	Jiming Chen, Hongyan Gao, Qin Li, et al. Efficacy and safety of remifemin on peri-menopausal symptoms induced by post-operative GnRH-a therapy for endometriosis: a randomized study versus tibolone[J]. Medical Science Monitor International Medical Journal of Experimental & Clinical Research, 2014, 20(20): 1950-1957.

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