当院における卵巣成熟奇形腫手術症例の検討

抄録

Objective: Clinical features of mature ovarian teratoma cases were investigated.

Methods: A total of 185 patients with mature ovarian teratoma surgically treated at our hospital between 2009 and 2013 were included in this study. Clinical data were obtained from patients' medical records. Clinical variables were analyzed by student's t-tests. Pearson correlation analyses were performed to analyze the correlation between tumor size and tumor markers (squamous cell carcinoma antigen (SCC) and CA19-9).

Results: Pearson correlation coefficients between tumor size and SCC, and tumor size and CA19-9 were 0.270 and 0.413, respectively. Age, tumor size, and squamous cell carcinoma antigens in the laparotomy group were significantly higher than those in the laparoscopy group. In the salpingo-oophorectomy group, only age was significantly higher than that in the cystectomy group.

Conclusion: Age, tumor size, and squamous cell carcinoma antigens may affect the decision to perform laparotomy in mature teratoma patients. Since tumor markers are related to tumor size, we should consider the possibility of the effect of tumor size in cases of ovarian mature teratomas with abnormal tumor markers.