ABSTRACT
The authors present a case of a 33-year-old infertile woman with coincidental dermoid cyst and ovarian endometriosis in the same ovary. She was admitted to the Clinic because of cystic tumor of the left adnexa. Transvaginal ultrasound (TVUS) examination found a bilocular tumor of complex structure on the left ovary. Video-laparoscopy was also performed. On the left ovary, two adjacent cystic formations were found. Laparoscopic ovarian cystectomy was performed and a surgical specimen was sent for histopathologic analysis. The diagnosis was a dermoid cyst and ovarian endometriosis. Without complications, the patient was released from the hospital. The patient was treated with an analogue of gonadotropin releasing hormone (GnRH) for three months as a preparation for in vitro fertilization (IVF).
Subject(s)
Endometriosis/complications , Laparoscopy/methods , Ovarian Diseases/complications , Ovarian Neoplasms/complications , Teratoma/complications , Adult , Endometriosis/pathology , Female , Humans , Infertility, Female/complications , Ovarian Diseases/pathology , Ovarian Neoplasms/diagnostic imaging , Ovarian Neoplasms/pathology , Teratoma/diagnostic imaging , Teratoma/pathology , Ultrasonography, DopplerABSTRACT
We present the case of a 38-year-old woman who was treated for a heterotopic interstitial (cornual) pregnancy diagnosed at the 7th week of gestation. The intervention was performed via transvaginal ultrasound-guided aspiration and instillation of a hypertonic solution of sodium chloride into the cornual sac. The heterotopic comrnual pregnancy was successfully aborted, and the intrauterine pregnancy was successfully maintained with delivery of a healthy newborn.
Subject(s)
Pregnancy, Heterotopic/diagnostic imaging , Pregnancy, Heterotopic/therapy , Adult , Female , Gestational Age , Humans , Male , Pregnancy , Pregnancy Outcome , Pregnancy, Tubal/therapy , Sodium Chloride/administration & dosage , Suction , UltrasonographyABSTRACT
PURPOSE: The aim of this study was to determine the frequency of endometriosis in epithelial ovarian cancer patients. METHODS: Patients who had undergone epithelial ovarian cancer surgery between 2000 and 2004 were subjected to a retrospective analysis. The analysis focused on the presence of ovarian endometriosis, histological types and stages of ovarian cancer, treatment types and five-year survival rate. RESULTS: Out of the 210 operated ovarian cancer patients, 23 had coexisting ovarian endometriosis. Ovarian endometriosis was detected in 3.5% (4 of 113 patients) of cases with serous ovarian cancer, in 31.6% (12 of 38 patients) of cases with endometrioid, and in 36.8% (7 of 19 patients) of cases with clear cell ovarian cancer. The treatment of ovarian cancer patients was a combination of surgery and chemotherapy. CONCLUSION: Endometriosis was most frequently present in patients with clear cell (36.8%) and endometrioid ovarian cancers (31.6%). The five-year survival rate for ovarian cancer patients in all stages was 39.1%.
