Diagnosis And Treatment of Benign Ovarian Tumors

Abstract

The most common disorders of the ovaries are benign ovarian tumors which occur with an 80% incidence in women compared to malignancies. The incidence of benign ovarian tumors with cystic type in Indonesia in 2015 occurred as many as 23,400 people with a death rate of 13,800 people. In connection with this incident, there are several risk factors associated and the symptoms that occur are usually common such as gastrointestinal symptoms, urinary frequency, and constituent symptoms so that a proper diagnosis is needed by doing anamnesis, physical examination and supporting examinations. Supporting examinations can be done by ultrasound, MRI, X-rays and blood tests with tumor markers CA-125 where in malignant ovarian tumors, the tumor marker CA-125 increases, which is >35 IU/ml. Management of benign ovarian tumors is generally done through observation and also surgery depending on the degree of severity. The surgery that is usually performed is either partial surgery or radical surgery. Surgery is indicated if there are several indications such as cystic ovarian structures measuring more than 5 cm that have been observed for 6 - 8 weeks without regression, solid ovarian lesions, ovarian lesions with papillary vegetation on the cyst wall, and other indications as well.