caa a22 4500 445307579 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1773-x doi (NATIONALLICENCE)springer-10.1007/s00404-010-1773-x Laparoscopical management ovarian early sex cord-stromal tumors in postmenopausal women: a proposal method [Elektronische Daten] [Andrea Tinelli, Marcello Pellegrino, Antonio Malvasi, Vito Lorusso] Background: Ovarian sex-cord stromal tumor (SCST) comprises 5% of the ovarian neoplasm; it occurs as an ovarian mass or hemoperitoneum, and the surgical management of SCST is not well defined at early stage and in adult patients. Purpose of the study: The authors tested to test the total not radical laparoscopic management of SCST in postmenopausal women at early stage. Methods: Three postmenopausal women were admitted in University-affiliated hospitals for pelvic pain, ovarian complex mass and genital bleeding. Preoperative clinical and instrumental examination suspected an ovarian tumor; therefore, a total laparoscopic approach was attempted. All patients underwent laparoscopic oophorectomy with the frozen section, who suggested for ovarian SCST; one woman received a total laparoscopic hysterectomy plus other oophorectomy, two received only the complementary oophorectomy, all without intensive surgical staging by with pelvic and para-aortic lymphadenectomy, appendectomy, peritoneal biopsies, and omentectomy. Results: All patients completed surgery without intrasurgical and postsurgical complications, with a fast dismissal. They are, currently, in long-term follow-up, with a 100% of survival after 3years and with none morbility and morbidity. Conclusions: In order to fast restore and preserve women's integrity, total laparoscopic approach of early SCST in adult age, without intensive radical staging, could be an appropriate clinical choice, since these tumors at slow growth, recurring locally and only a long time after initial treatment. This minimally invasive management could be suggested in association with a long-term follow-up, as possible "wait and see” postoperative option. Springer-Verlag, 2010 Sex cord-stromal ovarian tumors nationallicence Laparoscopy nationallicence Ovarian cancer nationallicence Menopause nationallicence Granulosa cell tumors nationallicence Ovarian tumors nationallicence Minimally invasive treatment nationallicence Tinelli Andrea Division of Experimental Endoscopic Surgery, Imaging, Minimally Invasive Therapy and Technology, Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, P.zza Muratore, 73100, Lecce, Italy aut Pellegrino Marcello Department of Pathology, Vito Fazzi Hospital, Lecce, Italy aut Malvasi Antonio Department of Obstetrics and Gynaecology, Santa Maria Hospital, Bari, Italy aut Lorusso Vito Department of Medical Oncology, Vito Fazzi Hospital, Lecce, Italy aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 87-91 0932-0067 283<87 2011 283 404 https://doi.org/10.1007/s00404-010-1773-x text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1773-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tinelli Andrea Division of Experimental Endoscopic Surgery, Imaging, Minimally Invasive Therapy and Technology, Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, P.zza Muratore, 73100, Lecce, Italy aut NATIONALLICENCE 700 1- Pellegrino Marcello Department of Pathology, Vito Fazzi Hospital, Lecce, Italy aut NATIONALLICENCE 700 1- Malvasi Antonio Department of Obstetrics and Gynaecology, Santa Maria Hospital, Bari, Italy aut NATIONALLICENCE 700 1- Lorusso Vito Department of Medical Oncology, Vito Fazzi Hospital, Lecce, Italy aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 87-91 0932-0067 283<87 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer