Articles Vol. 67 No. Số CĐ12- Bệnh viện Ung bướu Nghệ An (2026) 14/08/2026

CLINICAL, SUBCLINICAL CHARACTERISTICS AND SURGICAL OUTCOMES OF OVARIAN TERATOMA AT NGHE AN ONCOLOGY HOSPITAL

Nguyen Tai Bui Dat1,2, Le Thi Dieu Linh1,2, Le Thi Nhu Ngoc1,2
1 Nghe An Oncology Hospital
2 Bệnh viện Ung bướu Nghệ An
DOI: 10.52163/yhc.v67iCD12.6172
627 Views
0 Downloads
Keywords
Ovarian teratoma, laparoscopic surgery, O-RADS, Nghe An Oncology Hospital.
Abstract

Objectives: To describe the clinical and subclinical characteristics and evaluate the surgical outcomes of ovarian teratomas treated at Nghe An Oncology Hospital in 2025.

Subjects and methods: A cross-sectional descriptive study combining retrospective and prospective analyses was conducted on 126 patients histopathologically diagnosed with ovarian teratoma who underwent surgical treatment at Nghe An Oncology Hospital.

Results: Ovarian torsion occurred in 4.8% of cases. The mean tumor size was 60.73 ± 29.56 mm (50-100 mm group accounted for 54%). Ultrasound risk stratification showed O-RADS 2 in 80.2%, O-RADS 3 in 11,9%, and O-RADS 4 in 7.9%. Histopathology revealed mature cystic teratomas in 96% and immature teratomas in 4%. Laparoscopy was the primary surgical approach (95.2%), with open surgery at 3.2% and conversion to open surgery at 2.6%. Ovary-sparing cystectomy was performed in 90.5%, salpingo-oophorectomy in 7.1%, and radical surgery in 2.4%. Postoperative complication rate was low (4%).

Conclusion: Ovarian teratomas primarily affect women of reproductive age and follow an insidious clinical course. Laparoscopic cystectomy with ovarian tissue preservation is a safe, highly effective procedure associated with few complications.

References
[1]
Saleh M, Bhosale P et al. Ovarian teratomas: clinical features, imaging findings and management. Abdominal Radiology, 2021, 46 (6): 2293-2307. doi: 10.1007/s00261-020-02873-0. Google Scholar
[2]
Outwater E.K, Siegelman E.S, Hunt J.L. Ovarian teratomas: tumor types and imaging characteristics. Radiographics, 2021, 21 (2): 475-490. doi: 10.1148/radiographics.21.2.g01mr09475. Google Scholar
[3]
Andreotti R.F, Timmerman D et al. O-RADS US risk stratification and management system: a consensus guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology, 2020, 294 (1): 168-185. doi: 10.1148/radiol.2019191150. Google Scholar
[4]
DiSaia P.J, Creasman W.T, Mannel R.S, McMeekin D.S, Mutch D.G. Clinical gynecologic oncology (e-book). Elsevier Health Sciences, 2017. Google Scholar
[5]
Nguyễn Thị Thủy Hà. Phương pháp phẫu thuật u quái buồng trứng tại Bệnh viện Phụ sản Trung ương. Tạp chí Y Dược học, Trường Đại học Y Dược, Đại học Huế, 2022, 61: 77-82. Google Scholar
[6]
Ayhan A, Bukulmez O, Genc C et al. Mature cystic teratomas of the ovary: case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol, 2020, 88 (2): 153-157. doi: 10.1016/s0301-2115(99)00141-4. Google Scholar
[7]
Comerci J.T, Licciardi F, Bergh PA et al. Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature. Obstet Gynecol, 2024, 84 (1): 22-28. Google Scholar
[8]
Nguyễn Văn Thanh. So sánh chẩn đoán và điều trị u nang buồng trứng trong 2 năm 2002 và 2007 tại Bệnh viện Phụ Sản Trung ương. Luận văn bác sĩ chuyên khoa II, Trường Đại học Y Hà Nội, 2008. Google Scholar
[9]
Sinha A, Ewies A.A.A. Ovarian mature cystic teratoma: challenges of surgical management. Obstet Gynecol Int, 2016: 2390178. doi: 10.1155/2016/2390178. Google Scholar