ĐẶC ĐIỂM CẬN LÂM SÀNG U BIỂU MÔ BUỒNG TRỨNG ĐƯỢC PHẪU THUẬT TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objectives: To describe the clinical characteristics of ovarian surface epithelial tumors that underwent surgery. Subjects and Method: Descriptive retrospective study of patients with ovarian surface epithelial tumors who underwent surgery in 2022. Results: The average age of the benign tumor group was 37.0 ± 15.8, which was lower than the average age of the malignant tumor group, which was 48.8 ± 10.3. Ultrasonographic features of ovarian surface epithelial tumors included cystic (78.64%), solid (31.72%), and mixed (79.33%) components. The presence of solid components (mixed echogenicity) increased the malignancy of the tumors. On MRI/CLVT, ovarian surface epithelial tumors primarily had homogeneous fluid components (49.33%), while mixed and solid components predominated in malignant ovarian tumors (83.33% and 58.33%, respectively). The mean values of CA125 and HE4 were significantly lower in the benign group compared to the malignant group. The most common histological subtype of ovarian surface epithelial tumors, both benign and malignant, was serous cystadenoma. Conclusion: In patients with ovarian tumors, older age is associated with a higher risk of malignancy. Mixed echogenicity on ultrasound and mixed and solid components on MRI/CLVT suggest malignancy. CA125 and HE4 levels increase with the degree of malignancy. Serous cystadenoma is the most common histological subtype of ovarian surface epithelial tumors, with a higher prevalence in malignant cases.