ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG U BUỒNG TRỨNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN SẢN NHI PHÚ THỌ

Abstract

Objectives: To describe the clinical and subclinical characteristics of ovarian tumors in patients who underwent laparoscopic surgery at Phu Tho Obstetrics and Pediatrics Hospital from January 2023 to December 2024. Methods: A cross-sectional retrospective descriptive study was conducted on 189 patients diagnosed with ovarian tumors and treated with laparoscopic surgery from January 1, 2023, to December 31, 2024. Results: In our study, the mean age was 35.64±13.66 years, with the 30–39 age group accounting for the highest proportion (35.4%). The tumors were detected during routine check-ups in 51.3% of patients, while 36% presented with lower abdominal pain. Among the 189 patients, 154 underwent a gynecological examination, which revealed tumors characterized by a firm consistency (87.7%), high mobility (83.7%), clear boundaries (84.4%), and non-tenderness upon palpation (83.8%). The majority of cases involved unilateral ovarian tumors (91.6%), with a mean tumor size of 6.3 cm. On ultrasound, mixed echogenicity (32.3%) and anechoic features (31.2%) were the most common findings. Most patients had normal levels of CA-125 and HE4. The histopathological results showed that benign serous cystadenoma was the most prevalent type (47.1%), while malignant tumors were the least common (3.2%). Conclusion: The functional symptoms of ovarian tumors are often nonspecific, with detection primarily occurring during routine gynecological examinations. The average tumor size was 6.3 cm. The presence of septa or papillae was uncommon.