NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA CÁC TRƯỜNG HỢP UNG THƯ BUỒNG TRỨNG TẠI BỆNH VIỆN PHỤ SẢN TP. CẦN THƠ

Abstract

Objectives: To evaluate clinical and paraclinical characteristics of ovarian cancer cases diagnosed after having histopathology results. Methods: A retrospective, case series of 30 patients diagnosed with ovarian cancer or borderline ovarian tumors after surgery at Can Tho Obstetrics and Gyncology hospital from October 2017 - October 2022. Results: The average age of patients is 44.4±15.5. The most common symptom is abdominal pain (60%), most clinical examinations are palpable tumors (93.3%). The rate of tumor size ≤ 100 mm is 55.7%, median is 96.5 mm, the majority are unilocular cysts (53.3%). Regarding tumor markers, the rate of increased CA125 was 36.7%, high-risk HE4 was 3.3%, and high-risk ROMA test was 46.7%. Pathological characteristics of ovarian cancer with epithelial cell tumors accounting for the highest proportion (86.7%). In addition, borderline ovarian tumors accounted for nearly half of the cases (46.7%) in the study. Conclusion: Ovarian cancers are diagnosed by histopathology results with a relatively young average age. The majority of preoperative prognosis has a low risk of malignancy with characteristics such as: unilocular cyst, size ≤ 100mm, CA125 and HE4 do not increase. Histopathological results showed a high rate of borderline ovarian tumors.