Clinical characteristics and outcomes: 10-year review of mucinous ovarian tumours at Charlotte Maxeke Johannesburg Academic Hospital

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2022

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Ndala, Kambola Elie

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Background Primary mucinous ovarian tumours can be benign, borderline, or malignant. Patients with mucinous epithelial ovarian cancer have poor outcomes compared to other epithelial ovarian cancers. Objectives This study aimed to describe the clinical characteristics, management and outcomes of mucinous ovarian tumours at Charlotte Maxeke Johannesburg Academic Hospital. Methods Patients with mucinous ovarian tumours were selected retrospectively over 10 years. Descriptive quantitative data analysis was carried out. Results 15/60 (25,00%) had mucinous adenocarcinoma. The overall mean age was 49,95 years (SD±16,53; 95% CI, 45,67-54,22) and in mucinous cystadenocarcinoma was 49,73 years (SD ± 16,08; 95% CI, 40,83-58,64). Cystadenoma were 35(58,33%), cystadenocarcinoma 15(16,67%) and borderline 10(16,67%). 3(5,00%) patients had intraoperative complication and 13(21,67%) had post-operative complications. Conclusion Mucinous ovarian tumours affect women of all ages. About 25% are likely to be malignant. Cystadenoma is the commonest subtype and together with borderline tumours, have excellent surgical outcomes.

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A research report submitted in partial fulfilment of the requirements for the degree Master of Medicine in Obstetrics and Gynaecology to the Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, 2021

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