Ovarian tumor

1
????(1) ?????????????
??????????
Ovarian tumor - Benign Ovarian tumors and
Borderline malignant tumors -
2
????

• 1.????????????????
• 2.????????????????
• 3.????????????????????
• 4.???????????????
• 5.????????????

3
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????
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?????? ???????
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4
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• 1.????????????? 5-7
• ( ????????????? )
• 2.????????????????????????
• 3.????????????????????
• 4.???????????????????

Silent Organ
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?????????
???????????????
1.???????? ( torsion )
- ??????? ?
- ?????(?????)
- ?????(?????)
2.??????? ( rupture )
- ??????(????????)
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?????????
???????????
1)????????? Surface epithelial stromal
tumors
????
???????? ???
2)??????? Sex cord stromal tumors
3)?????? Germ cell tumors
??????
4)??? Others
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??????????
???? ( benign tumor )
?????? ( borderline tumor ) ( tumor of low
malignant potential )
???? ( Malignant tumor )
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????????????

• 1.???? ( CT MRI B-scope )
• 2.??????

?????? 80 ?????
???????????????????
??????????????
9
??????
???? ??????
????????
????
?????? CA125 ?????? STN ?????? CA
19-9
?????
estrogen , testosterone
????
AFP , hCG , SCC
10
??????????
???? ( benign tumor )
?????? ( borderline tumor ) ( tumor of low
malignant potential )
???? ( Malignant tumor )
11
??????????

• 1.??????????
• ??????? serous adenoma
• ??????? mucinous adenoma
• 2.??????
• ???????? mature cystic teratoma
• 3.?????
• ???????? endometrial cyst

12
??????????
1.???????????? ??????? serous adenoma
??????? mucinous adenoma
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???????????
????? ?????
???
???
T1 low T2 high
T1 high low T2 high hetero
CA 125
CA 19-9,STN,CEA
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?????
T1??
T2??
15
?????
T1??
T2??
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??????????
2.???????? ???????? mature cystic teratoma
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????????

• 1.???????
• 2.????????????????
• 3.??????????????
• 4.15??????????????
• 5.???? malignant transformation
• 6.?????????????????
• 7.???????? SCC ?????

18
??????????
3.????? ???????? Endometrial cyst Tarry
cyst Endometrioma Ovarian endometriosis
19
??????

• 1.????? ( ????????????? )
• 2.?????????? MRI????????
• 3.????????????????????
• ??????????????????????

20
??????

• 1.???????????????
• 2.??????????????????
• 3.???????????????????
• ???94????

????????????????????? ?????????????????????
????????????????????
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????????????
( ?????????????2005 )
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????????
??????????
???????????????????????? ???????(???????????)
???????
??????(??????) ?????????(????????????)
??????
?????( G1G2 ????? - ???? ) ??????(??????)
23
???????????
??????? Sex cord / stromal tumor

• 1.????? Theca cell tumor
• ???? ?????????
• 2.?????? Granulosa cell tumor
• ?????? ?????????
• 3.?????????? Sertoli-stromal tumor
• ????????(????????)
• ?????????

24
???

• 1.??????????????????
• ??????????????????.
• 2.???????????????????
• ?????.
• 3.?????????????????????
• ??????????????????.
• 4.????????????????????.

25
??????????

• 1.?????
• 2.???
• 3.????
• 4.??

Over treatment / Under treatment
Laparotomy / Laparoscopy
??? / ?????
?? / ?? QOL
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????
????????? ??

• 1. ???????????? MRI?????
• ????( MRI???????????? )
• 2. ???????????
• ?????????

??????? ??????????