A Clinical Study of the Torsion of Ovarian Tumor.

Kim, H S; Sunwoo, J G; Kim, M K; Jang, K T; Bae, D H

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(5):1044-1048.
Published online January 1, 2001.

A Clinical Study of the Torsion of Ovarian Tumor.

H S Kim, J G Sunwoo, M K Kim, K T Jang, D H Bae

Department of Obstetrics and Gynecology, Chunan Hospital, College of Medicine, Soonchunhyang University, Korea.

Abstract

This study was planned to evaluate the vascular pedicle torsion of various ovariantumors, which were made on a series of 96 cases with torsion of ovarian tumor, who wereadmitted, operated and confirmed with postoperative histopathological study at Departmentof Obstetrics and Gynecology, Soon Chun Hyan University, Chunan Hospital, during theperiod of 10 years from 1985 March, to 1995 December.The results were as follows:1. The mean age of patients was 24.8 year old with range from 14 to 42.2. The most frequent symptom was lower abdominal pain(100%), followed by intermittentpain attack(48%), nausea(21%), vomiting(17%), vaginal bleeding(8%), and dysuria(4%).3. The mean size of tumors was 6.3 cm with range from 3 to 16.4. The torsion occured at right side in 76 cases(76%) and at left side in 20 cases(21%).5. The most frequent degree of torsion was one time rotation(360, 44%).6. By histopathological classification of tumors with torsion, there were 46 cases ofdermoid cyst(48%), 23 cases of simple cyst(24%), 14 cases of mucinous cystadenoma(15%), 10 cases of serous cystadenoma(10%), 2 cases of serous cystadenocarcinoma(2%), 1case of mucinous cystadenocarcinoma(1%).

Key Words: Torsion of ovarian tumor