KISTA DERMOID OVARIUM KANAN
Abstract
Abstrak. Kista ovarium merupakan tumor yang paling umum dengan prevalensi melebihi 30%.Kista Dermoid pada ovarium dapat terjadi pada semua usia dengan prevalensi tertinggi pada usia reproduksi (16–55 tahun) dengan insidensi tertinggi pada usia 30 tahun.Seorang perempuan berusia 33 tahun datang dengan keluhan nyeri perut kanan bawah yang dirasakan sejak 2012. Nyeri yang dialami menjalar sampai ke pinggang. Kemudian pasien dilakukan pemeriksaan ultrasonografi dan tampak masa kista berukuran 5,35x4,52 cm pada ovarium kanan. Pasien kemudian dilakukan tindakan kistektomi perlaparoskopi. Pasca pembedahan pasien didiagnosa dengan kista dermoid ovarium kanan. Pendekatan laparoskopi tidak membutuhkan waku yang lama dengan perdarahan yang minimal. Kista dermoid ovarium bersifat jinak sehingga prognosis setelah dilakukan pengangkatan ad bonam. Meskipun ada kemungkinan bertansformasi menjadi keganasan.
Kata Kunci: Kista Ovarium, Kista Dermoid, Ultrasonografi, Kistektomi per Laparoskopi
Abstract. Ovarian cysts are the most common tumor, the prevalence is approximately more than 30%. Dermoid cysts in the ovary can occur at any time with the highest prevalence at reproductive period (16-55 years), especially at the age of 30 years. A 33-year-old woman came with chief complaint lower abdominal pain since 2012. The pain spread to the waist. Then the patient performed an ultrasound examination revealed the presence of cyst on the right ovary measured 5.35x4.52 cm. The patient then performed laparoscopic cystectomy. Postoperative diagnosis was a right ovarian dermoid cyst. The laparoscopic approach does not require long periods of time with minimal bleeding. Ovarian dermoid cysts are benign with a better prognosis after removal. Although there is a possibility to transform into malignancy.
Keywords: Ovarian Cyst, Dermoid Cyst, Ultrasonography, Laparoscopic, Cystectomy
Keywords
References
Kepustakaan
Colin M. Ovarian Dermoid Cyst. Medical Ultrasonography. 2009;11(4): 61-6.
Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics. 2001;21(2):475-90
Laufer M, Goldstein D. Benign and malignant ovarian masses. In: Emans S, Laufer M, Goldstein D, editors. Pediatric and Adolescent Gynecology. Philadelphia: Lippincott Williams and Wilkins. 2005;5:706-10.
Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap L, Wenstrom KD. Maternal Anatomy. In: Williams Obstetrics (24th Edition ed.). New York. The McGraw-Hill Companies; 2014. p. 11-14.
Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol. 2009;23(5):711-24.
Kwak DW, Sohn YS, Kim SK, Kim IK, Park YW, Kim YH. Clinical experiences of fetal ovarian cyst: diagnosis and consequence. J Korean Med Sci. 2006;21(4):690-4.
Rasad, Sjahriar : Radiologi Diagnostik. 2th ed. Jakarta: Balai Penerbit FKUI; 2011. p.62-84.
Ghazali M. Radiologi Diagnostik. Yogyakarta: Pustaka Cendekia; p.179-81.
Katz VL. Comprehensive Gynecology. 5th ed. Philadelphia: Mosby Elsevier; 2007. p.1098-103.
Prawirohardjo S, Wiknjosastro H, Sifuddin AB, dkk. Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2013. p.851-6.
Pascual PA, Moreno SC, MorenoCid M and Rodríguez E. Bilateral ovarian laparoscopic cystectomy of dermoid cysts and pregnancy. Gynecological Surgery. 2010;7:167-71.
Yuen, P. M., et al, “A randomized prospective study of laparoscopy and laparotomy in the management of benign ovarian masses,” AJOG. 1997; 177(1):109-14.
Liu, Y. X., et al, “Laparotomy versus laparoscopy for the elective cystectomy of a benign ovarian tumour during pregnancy: a retrospective cohort study,” Int J Clin Exp Med. 2017;10(7):10918-27.
Giuntoli RL 2nd, Vang RS, Bristow RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol. 2006;49(3):492-505.
Glanc P, Salem S, Farine D. Adnexal masses in the pregnant patient: a diagnostic and management challenge. Ultrasound Q. 2008;24(4):225-40.
DOI: 10.24815/jks.v18i3.18024
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