Open AccessThe Value of Laparoscopy in the Differential Diagnosis Between Uterine Fibromyomata and Adnexal Tumours
Author(s) -
Samuelsson Stig,
Sjövall Alf
Publication year - 1970
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016347009158051
Subject(s) - medicine , laparoscopy , adnexal mass , uterus , adnexal diseases , laparotomy , differential diagnosis , gynecology , concomitant , pelvic inflammatory disease , surgery , radiology , pathology
Abstract. Out of a total of 2098 laparoscopies, 90 (4.3%) were made to settle the diagnostic questions: I. fibromyomata of the uterus or adnexal tumour? and II. fibromyomata of the uterus concomitant with adnexal tumour or uterine fibromyomata only? A diagnosis was obtained in 83 patients (92%). Adnexal disease was found in 28/83 (34%) and fibromyomata of the uterus only were present in 55/83 (66%). Neoplastic tumours were found in 19/83 (24%). Doubts regarding fibromyoma of the uterus versus adnexal disease can quickly be resolved by laparoscopy. Adnexal operations can be performed immediately after the laparoscopy. When only uterine fibromyomata are found that do not require surgery, explorative laparotomy and unnecessary hysterectomies are avoided.