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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2006

01-09-2006

Performance of laparoscopy in identifying malignant ovarian cysts

Authors: C. Bensaid, M. A. Le Frère Belda, U. Metzger, F. Larousserie, D. Clément, G. Chatellier, F. Lécuru

Published in: Surgical Endoscopy | Issue 9/2006

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Abstract

Background

Peroperative identification of malignancy is crucial to management planning for ovarian cysts. The aim of this study was to evaluate the performance of laparoscopy in identifying malignant ovarian cysts.

Methods

Patients undergoing laparoscopy for ovarian cysts from 1998 to 2001 were enrolled prospectively. Physical findings, Doppler ultrasonography, and serum CA 125 served to compute two risk-of-malignancy indexes (RMI-1 and RMI-2), and laparoscopy findings served to categorize lesions as benign, possibly malignant, or malignant. Frozen sections were examined as needed. Final histology was the reference.

Results

Of 313 patients, 294 had benign cysts, six borderline lesions, and 13 malignancies. Sensitivity and specificity were respectively 84 and 93% for RMI-1, 92 and 80% for RMI-2, 100 and 99% for laparoscopy, 91 and 100% for frozen sections, and 100 and 100% for laparoscopy plus frozen sections, which had 100% negative predictive value. Six (1.8%) adverse events occurred.

Conclusions

Laparoscopy reliably identifies ovarian cancer and borderline disease. Morbidity is low compared to oncologic surgery.
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Metadata
Title
Performance of laparoscopy in identifying malignant ovarian cysts
Authors
C. Bensaid
M. A. Le Frère Belda
U. Metzger
F. Larousserie
D. Clément
G. Chatellier
F. Lécuru
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0350-z

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