가임기 여성의 골반종괴에 관한 임상적 고찰

Objective : The purpose of this study was to review the types of pelvic masses, the incidence according to ages, the anatomic location and histology, the diagnostic and operative methods and the incidence of malignancy in reproductive ages. Methods : Retrospective review according to the medical records of 1,408 reproductive aged women with pelvic mass who visited and managed in the Department of Obstetrics and Gynecology of six University Hospitals from January 1997 to December 1998. Results : The results were as follows: 1. The case numbers of pelvic masses managed within 2 year period were 1,408. Among these, the most common was ovarian masses(52.4%) followed by uterine masses(44.7%). 2. The peak incidence age of ovarian masses was 20-29 years of age group(41.5%) and the uterine masses was 40-44 years of age group(49.0%). 3. Among 738 cases with ovarian masses, germ cell tumor was the most common(39.4%). Others were epithelial tumors(37.9%), endometriosis(31.9%), functional cysts(5.6%), and sex cord stromal tumors(2.1%). And the incidence rate of malignancy in ovarian masses is 10 %. 4. Among 630 cases with uterine masses, leiomyoma is the most common(87.0%) and adenomyosis is the next(12.4%). 5. The most frequently used diagnostic method was ultrasound(75%). The operation methods were somewhat different according to types of pelvic masses. In ovarian masses, 71.3% were managed by laparotomy and 28.7% were by laparoscopic surgery. Whereas in uterine masses, 94.4% were managed by laparotomy and 5.6% were by laparoscopic surgery. Conclusion : This study shows that benign ovarian mass and uterine myoma were common pelvic masses in reproductive ages. And correct diagnosis is needed and indication of surgical intervention should be considered cautiously in women who wish to preserve childbearing capacity.