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Etiopathogenicity and diagnosis of endometrial ovarian tumors

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dc.contributor.author Ciolpan, Doina
dc.date.accessioned 2020-10-20T07:11:16Z
dc.date.available 2020-10-20T07:11:16Z
dc.date.issued 2020
dc.identifier.citation CIOLPAN, Doina. Etiopathogenicity and diagnosis of endometrial ovarian tumors. In: MedEspera: the 8th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2020, p. 88-89. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/ABSTRACT-BOOK.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/12243
dc.description Department of Oncology Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020 en_US
dc.description.abstract Introduction. Endometriosis is a benign gynecological estrogen-dependent disease characterized by endometrium-like tissue outside the uterus. The disease affects approx. 6-10% of women of reproductive age. The benign endometrial tumor also known as ’’chocolate cyst” affects 17-44% of women with endometriosis. Etiological theories explaining the endometrial lesions are: reflux of endometrial tissue via fallopian tubes during menstruation, coelomic metaplasia, vestiges of embryonic cells and lymphatic and vascular proliferation. The golden standard in diagnosis of endometrial tumors is laparoscopy. Transvaginal ultrasound does not help in initial diagnosis, but nonetheless can help in telling apart the endometrial from other benign ovarian tumors, while MRI helps in differentiating endometrial ovarian tumors from other ovarian cysts. Aim of the study. Evaluation of risk factors and methods of diagnosis of endometrial ovarian tumors. Materials and methods.. Lot of patients: 27 patients with endometrial ovarian tumors who were hospitalized and received treatment at PMSI OI of the Republic of Moldova between 2014 and 2019. Results. Total number of patients enrolled in the study: 27 patients, 25-45 years (age of highest incidence) - 15 patients (55,5%). The most frequent symptoms: pelvic pain - 27 patients (100%), dysmenorrhea - 9 patients (33,3%), dyspareunia- 5 patients (18,51%), metrorrhagia - 3 patients (11,1%).Bimanual examination of 12 patients (44,4%), revealed a smooth, elastic mass. According to laboratory data, 19 patients (70,37%) showed high CA 125 values, and 14 patients (51,8%) high estradiol values. Diagnostic imaging: ultrasound - 27 patients (100%), CT -7 patients (25,92%), MRI - 3 patients (11,1%). Laparoscopic methods: diagnostic laparoscopy - 12 patients (44,4%). All patients have received surgical treatment: surgery under laparoscopy - 12 patients (44,4%), laparotomy - 15 patients (55,5%). Conclusions. 1.Age and high estrogen levels are among the main factors which lead to endometrial ovarian tumors. 2.Pelvic pain is the main symptom shown by patients followed by dysmenorrhea, dyspareunia, and metrorrhagia. 3.Laparoscopy is the golden standard in the diagnosis of endometrial ovarian tumors. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject endometriosis en_US
dc.subject endometrial tumor en_US
dc.subject laparoscopy en_US
dc.subject pelvic pain en_US
dc.title Etiopathogenicity and diagnosis of endometrial ovarian tumors en_US
dc.type Article en_US


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  • MedEspera 2020
    The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020

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