Features of clinical description of patients are with of benigh ovarian neoplasms after hysterectomy

Oleksandr V. Zabudskіy
In: Perinatology and reproductology: from research to practice · 2026 · vol. 6(1) , pp. 53 · doi:10.52705/2788-6190-2026-01-6 · W7148648065
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This study analyzed 83 patients with benign ovarian neoplasms after hysterectomy, finding cervical stump pathology in 17.7% and elevated CA-125 in 11 patients.

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The paper retrospectively analyzed hospital and operative videotape records from 83 women with benign ovarian neoplasms after hysterectomy to describe clinical features and associated findings, using clinical, laboratory, instrumental, and statistical methods. Sixty-five of 83 had chronic pelvic pain and pain during sexual contact, and all had previously undergone total or subtotal hysterectomy via laparotomy for diagnoses including uterine fibroids, adenomyosis, and recurrent dysfunctional uterine bleeding; 48 were treated for ovarian tumors laparoscopically and 35 by laparotomy. In women with subtotal hysterectomy (62), stump cervix pathology was found in 12 (17.7%), including endometriosis of the stump cervix in 6 cases, and CA-125 was elevated in 11 patients (35–54 IU/ml). A key limitation is that the study design is retrospective and focuses on benign ovarian tumors and their clinical description after hysterectomy rather than testing diagnostic accuracy or outcomes. Relevance to endometriosis: the study specifically reports endometriosis of the stump uterine cervix after subtotal hysterectomy and is situated in a clinical context that included adenomyosis as a prior hysterectomy indication, linking its population to endometriosis/adenomyosis.

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Abstract

The objective: to learn the features of clinical description inspection of patients with of benigh ovarian neoplasms after hysterectomy. Materials and methods. The retrospective analysis of hospital and videotape recordings of operations charts is conducted 83 patients, ovaries operated concerning of benigh tumours. All patients entered permanent establishment in the planned order with a diagnosis: «Benigh ovarian neoplasms». 65 from 83 patients produced complaints about chronic pelvic pains and pains at sexual contacts. All patients before carried total or subtotal hysterectomy without appendages laparotomy access concerning a uterine fibroids, adenomyosis, recurrent dysfunctional uterine bleeding. 1 basic group – 48 patients were operated concerning the tumours of ovaries by laparoscopy access. The group of comparison was made by 35 patients which undergoed a laparotomy operation concerning the tumours of ovaries. Clinical, laboratory instrumental and statistical methods were included in the complex of the conducted researches. Results. For 62 patients after subtotal hysterectomy the state of stump uterine cervix was estimated (oncocytological examination of smears from endo- and exocervix, extended colposcopy). From them there is found out pathology of stump uterine cervix in 12 patients (17,7 %): for 2 patients is high-grade dysplasia, in 6 is endometriosis of stump uterine cervix, for 3 patients are recurrent polyps of cervical canal, bleeding from stump uterine cervix, concerning which it was decided to execute extirpation of the cervical stump. In all 83 patients determined the level of tumour marker of СA-125 in the blood serum. In 11 patients there was an increase of level of tumor marker of СA-125 to 35–54 IU/ml. Conclusions. The results of the conducted clinical description of women with ovarian neoplasms after hysterectomy testify to actuality of this scientific problem and necessity of development of the improved algorithm of diagnostic, treatment-and prophylactic and rehabilitation measures.
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Keywords

ovarian neoplasms, hysterectomy, clinical description, inspectionAbstract DOI: 10.52705/2788-6190-2026-01-6 УДК 618.14-089.87-089.168.1-066.88.11-006.03-036.1-07-039 The objective: to learn the features of clinical description inspection of patients with of benigh ovarian neoplasms after hysterectomy.

Materials

and methods. The retrospective analysis of hospital and videotape recordings of operations charts is conducted 83 patients, ovaries operated concerning of benigh tumours. All patients entered permanent establishment in the planned order with a diagnosis: «Benigh ovarian neoplasms». 65 from 83 patients produced complaints about chronic pelvic pains and pains at sexual contacts. All patients before carried total or subtotal hysterectomy without appendages laparotomy access concerning a uterine fibroids, adenomyosis, recurrent dysfunctional uterine bleeding. 1 basic group – 48 patients were operated concerning the tumours of ovaries by laparoscopy access. The group of comparison was made by 35 patients which undergoed a laparotomy operation concerning the tumours of ovaries. Clinical, laboratory instrumental and statistical methods were included in the complex of the conducted researches. Results. For 62 patients after subtotal hysterectomy the state of stump uterine cervix was estimated (oncocytological examination of smears from endo- and exocervix, extended colposcopy). From them there is found out pathology of stump uterine cervix in 12 patients (17,7 %): for 2 patients is high-grade dysplasia, in 6 is endometriosis of stump uterine cervix, for 3 patients are recurrent polyps of cervical canal, bleeding from stump uterine cervix, concerning which it was decided to execute extirpation of the cervical stump. In all 83 patients determined the level of tumour marker of СA-125 in the blood serum. In 11 patients there was an increase of level of tumor marker of СA-125 to 35–54 IU/ml. Conclusions. The results of the conducted clinical description of women with ovarian neoplasms after hysterectomy testify to actuality of this scientific problem and necessity of development of the improved algorithm of diagnostic, treatment-and prophylactic and rehabilitation measures. Downloads Published How to Cite Issue Section License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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endometriosisadenomyosis

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