The ovarian cysts. Analysis of the structure of pathology in women of reproductive age

Authors

  • Ольга Сергiiвна Шаповал State Institute “Medical Academy of Postgraduate Education Ministry of Health Ukraine” Vintera boul., 20, Zaporozhye, Ukraine, 69096, Ukraine https://orcid.org/0000-0002-9382-0483

DOI:

https://doi.org/10.15587/2519-4798.2016.77836

Keywords:

ovarian cyst, cystoma, reproductive age, ultrasound diagnostics, tumor markers, laparoscopy, histology

Abstract

The problem of treatment of patients with ovarian cysts is the one of main problems in the modern gynecological practice. The use of the results of the different modern methods of diagnostics can essentially shorten the time for setting the clinical diagnosis that is to choose the correct treating tactics in proper time.

The aim of work was to analyze the structure of tumor-like formations of ovaries in women of reproductive age.

Methods of research. There was carried out the retrospective analysis of 3555 medical histories of patients of reproductive age, who were hospitalized in gynecological department during 2009–2014 and underwent surgical and conservative treatment. The endoscopic optics, made by “Wing” (Russia) was used at laparoscopy. Laparoscopy and histological study of the samples of tissue were carried out according to the standard methods. The data were processed using the statistical program package

STATISTICA (StatSoft statistica v.6.0).

Results. It was established, that the frequency of ovarian pathology in women of reproductive age in the structure of gynecological pathology is 7,48 %. In the structure of ovarian pathology the frequency of functional cysts is 77,82 %, endometriosis and dermoid cysts – 8,27 %, ovarian cystomas – 4,89 %. Ultrasound examination allows diagnose endometrial ovarian cysts with 100 % exactness, dermoid ovarian cysts – up to 90 %, and in 47.01 % of cases it allows determine the character of functional cysts. In 31 % of patients the ovarian cystomas were endoscopically diagnosed with the further morphological confirmation of diagnosis.

As far as the benignant ovarian pathology is in most cases diagnosed just in the active fertile period of women life, all efforts of obstetrician-gynecologist must be directed on timely diagnostics (using invasive methods if necessary) and the treatment of disease that would help to reduce the frequency of cancer and preserve the reproductive potential

Author Biography

Ольга Сергiiвна Шаповал, State Institute “Medical Academy of Postgraduate Education Ministry of Health Ukraine” Vintera boul., 20, Zaporozhye, Ukraine, 69096

Doctor of philosophy, associate professor

Department of Obstetrics and gynecology

References

  1. Zvarych, L. I., Lucenko, N. S., Shapoval, O. S., Ganzhyj, I. Ju., Plotnikova, V. M. (2015). Chastota funkcional'nyh kist jajechnykiv u zhinok reproduktyvnogo viku v strukturi ginekologichnoi' patologii'. Suchasni medychni tehnologii', 2 (3), 79–83.
  2. Demidov, V. N., Gus, A. I., Adamjan, L. V. (2006). Kisty pridatkov matki i dobrokachestvennye opuholi jaichnikov. Issue 2. Jehografija organov malogo taza u zhenshhin. Moscow, 5–27.
  3. Shapoval, O. S. (2015). Rasprostranennost' dobrokachestvennyh zabolevanij organov malogo taza u molodyh zhenshhin. Aktual'nі pitannya medichnoі nauki ta praktiki, 1 (82), 112–120.
  4. Shapoval, O. S. (2016). Kliniko-sonologicheskie osobennosti pri opuholepodobnyh obrazovaniyah yaichnikov u zhenshhin reproduktivnogo vozrasta. Zdorov'e zhenshhiny, 1 (107), 137–141.
  5. Vovk, І. B., Kondratyuk, V. K. (2006). Suchasnі principi dіagnostiki ta lіkuvannya zhіnok reproduktivnogo vіku z puhlinopodіbnimi urazhennyami yaеchnikіv. Reproduktivnoe zdorov'e zhenshhiny, 2 (27), 88–93.
  6. Vovk, I. B., Chubej, G. V., Kondratyuk, V. K. et. al. (2013). Puhlinopodibni urazhennya yaеchnikiv: etiologiya, patogenez, diagnostika ta likuvannya. Zdorov'e zhenshhiny, 2 (78), 11–15.
  7. Kuznecova, E. P., Serebrennikova, K. G. (2010). Sovremennye metody diagnostiki opuholevidnyh obrazovanij i dobrokachestvennyh opuholej yaichnika (nauchnyj obzor). Fundamental'nye issledovaniya, 11, 78–83.
  8. Twickler, D. M., Moschos, E. (2010). Ultrasound and Assessment of Ovarian Cancer Risk. American Journal of Roentgenology, 194 (2), 322–329. doi: 10.2214/ajr.09.3562
  9. Vliyanie hirurgicheskogo lecheniya e'ndometriomy yaichnikov na ovarial'nyj rezerv: itogi sistematicheskogo obzora i meta-analiza (2012). Problemy zhenskogo zdorov'ya, 3, 10–15.
  10. Kulakov, V. I., Gataulina, R. G., Suhih, G. T. (2005). Izmeneniya reproduktivnoj sistemy i ih korrekciya u zhenshhin s dobrokachestvennymi opuholyami i opuholevidnymi obrazovaniyami yaichnikov. Moscow: Triada H, 21.
  11. Unanyan, A. L. (2010). E'ndometrioz i reproduktivnoe zdorov'e zhenshhin. Akusherstvo, ginekologiya, reprodukciya, 3 (4), 6 – 11.
  12. Serebrennikova, K. G., Kuznecova, E. P. (2010). Sovremennye predstavleniya ob e'tiologii i patogeneze opuholevidnyh obrazovanij i dobrokachestvennyh opuholej yaichnikov. Saratovskij nauchno-medicinskij zhurnal, 3 (6), 552–558.
  13. Serebrennikova, K. G., Kuznecova, E. P. (2011). Hirurgicheskoe lechenie dobrokachestvennyh opuholej yaichnikov. Fundamental'nye issledovaniya, 9, 155–158.
  14. Promecene, P. A. (2002). Laparoscopy in gynecologic emergencies. Seminars in Laparoscopic Surgery, 9 (1), 64–75. doi: 10.1053/slas.2002.32091
  15. Bulanov, M. N. (2010). Ul'trazvukovaya diagnostika. Vol. 1. Moscow, 259.
  16. Gazhonova, V. E., Churkina, S. O., Savinova, E. B. et. al. (2009). Sonoe'lastografiya v diagnostike obrazovanij yaichnikov. Kremlyovskaya medicina, 3, 31–37.
  17. Sahautdinova, I. V., Mustafina, G. T., Habibullina, E. N., Yarkova, E. I. (2015). Sovremennye metody diagnostiki i lecheniya e'ndometrioza yaichnikov. Medicinskij vestnik Bashkortostana, 10 (1), 113–117.
  18. Vdovichenko, Yu. P., Gopchuk, E. N. (2012). Vospalitel'nye zabolevaniya organov malogo taza – kompleksnyj podhod dlya e'ffektivnoj terapii. Zdorov'e zhenshhiny, 4, 102–108.
  19. Lindsay, S. F., Luciano, D. E., Luciano, A. A. (2015). Emerging therapy for endometriosis. Expert Opinion on Emerging Drugs, 20 (3), 449–461. doi: 10.1517/14728214.2015.1051966
  20. ESHRE guideline for the diagnosis and treatment of endometriosis. Available at: http://www.guidelines.endometriosis.org/
  21. Burney, R. O. (2013). The genetics and biochemistry of endometriosis. Current Opinion in Obstetrics and Gynecology, 25 (4), 280–286. doi: 10.1097/gco.0b013e3283630d56
  22. Lee, D.-Y., Bae, D.-S., Yoon, B.-K., Choi, D. (2010). Post-operative cyclic oral contraceptive use after gonadotrophin-releasing hormone agonist treatment effectively prevents endometrioma recurrence. Human Reproduction, 25 (12), 3050–3054. doi: 10.1093/humrep/deq279
  23. Tosti, C., Pinzauti, S., Santulli, P., Chapron, C., Petraglia, F. (2015). Pathogenetic Mechanisms of Deep Infiltrating Endometriosis. Reproductive Sciences, 22 (9), 1053–1059. doi: 10.1177/1933719115592713
  24. Szamatowicz, M. (2007). Endometriosis – is the best way of infertility treatment? IFFS, FC 1505, 80.

Downloads

Published

2016-09-30

How to Cite

Шаповал, О. С. (2016). The ovarian cysts. Analysis of the structure of pathology in women of reproductive age. ScienceRise: Medical Science, (9 (5), 75–79. https://doi.org/10.15587/2519-4798.2016.77836

Issue

No. 9 (5) (2016)

Section

Medical Science

License

Copyright (c) 2016 Ольга Сергiiвна Шаповал

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.

Authors, who are published in this journal, agree to the following conditions:

1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.

 2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.