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Onkologie up2date 2021; 3(03): 235-249
DOI: 10.1055/a-1580-1061
Weitere Tumorentitäten

Operatives Management von Adnextumoren

Susanne Schüler-Toprak
,
Olaf Ortmann
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Raumforderungen im Bereich der Adnexe stellen häufige Gründe für eine Konsultation eines Gynäkologen dar. Oftmals fällt die Einordnung der Befunde und somit die Festlegung des weiteren Vorgehens schwer. Im Folgenden werden verschiedene Tumoren im Bereich der Adnexe vorgestellt. Die entsprechenden diagnostischen und therapeutischen Strategien werden dargestellt und bieten einen Handlungsalgorithmus für den klinischen Alltag.
Kernaussagen

  • Eine adäquate präoperative Einordnung von Adnexbefunden bezüglich ihrer Dignität ist elementar für die Wahl des operativen Vorgehens.

  • Für unerfahrenere Gynäkologen bieten validierte Scores, die zum Teil sonografische und klinische bzw. auch laborchemische Kriterien vereinen, eine Möglichkeit, die Unterscheidung zwischen benigne und maligne zu erleichtern.

  • Der Tumormarker CA 125 ist vor allem in der Prämenopause häufig unspezifisch erhöht.

  • Bei funktionellen Zysten sollte zunächst ein abwartendes Vorgehen favorisiert werden.

  • Bei Anhalt für Malignität sollte nicht laparoskopisch vorgegangen werden.

Schlüsselwörter

Adnextumor - Funktionelle Zyste - Dermoidzyste - Laparoskopie


Publication History

Article published online:
03 September 2021

© 2021. Thieme. All rights reserved.

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