Functional ovarian cysts in patients cured of ovarian neoplasms

Article Abstract:

After patients undergo removal of an ovary because of cancer, they must be carefully monitored to detect any signs of recurrence. Enlargement of the remaining ovary can indicate malignancy, but removal of an enlarged ovary that contains cysts, not cancer, must be avoided. The matter is perhaps even more important when patients are young. To determine the rate of ovarian cysts in ovarian cancer patients under 21 years of age, 27 women who had undergone removal of one ovary were followed-up for an average of 80 months. Fourteen received chemotherapy after surgery, and radiation treatment was administered to nine, all of whom lost ovarian function. Of the 18 patients with ovarian function, 13 developed an ovarian cyst. Eight of the cysts regressed (grew smaller), while four patients were treated with oral contraceptives (OCs) to suppress ovarian function, and one had the ovary removed for recurrence of the malignancy. It appears that ovariopexy (surgical attachment of the ovary to the abdominal wall) should be performed to move the remaining ovary away from the field of irradiation, in cases where radiotherapy is planned. When cysts occur in these young patients, they trigger a barrage of diagnostic tests and elicit much fear of recurrence. Ovarian cysts do not develop, however, with OC use. The use of OCs is recommended for at least two years after the first ovarian cancer surgery to prevent cyst formation. (Consumer Summary produced by Reliance Medical Information, Inc.)

Diagnosis, Prevention, Complications and side effects, Ovarian cancer, Cancer in children, Childhood cancer, Cysts

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Ovarian suspension in massive ovarian edema

Article Abstract:

The case report is presented of a young woman with nausea and severe, intermittent pain in the right lower side of her abdomen who was ultimately discovered to have massive edema (swelling) of the ovaries. Small portions of each ovary were removed and the patient's pain disappeared. When it returned a few months later, a surgical procedure to suspend (tether) the ovaries to nearby ligaments was performed. This was undertaken on the hypothesis that ovarian edema is the result of partial torsion (twisting) of the organ on its ligaments. The procedure seemed effective, and the patient's ovaries appeared normal when examined six months later. Massive ovarian edema, an uncommon condition, occurs in young women. It is not really massive, and most ovaries are only minimally enlarged. Although this is only the second reported use of ovarian suspension for this condition, the approach is recommended for consideration in cases of massive ovarian edema. (Consumer Summary produced by Reliance Medical Information, Inc.)

Methods, Case studies, Diseases, Ovaries, Edema, Gynecology, Operative, Gynecological surgery

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Male victims of sexual assault

Article Abstract:

The sexual assault of men by other men has been thought to be limited to the prison setting, but this may not be the case. A review of data on 1,752 sexual assaults reported to the Memphis (TN) Sexual Assault Resource Center found that 99, or almost six percent, were male victims. Eighty were inmates, but 19, or almost 20%, were men living in the community. All but one of the assaults was committed by a man. The inmates were younger on average than the men in the community, but this is probably a reflection of the younger age of prisoners in general. Other than age, there were no differences between the two groups. Most of the perpetrators and victims were black. This is consistent with other violent crimes, which are most often committed by minorities against other minorities. The sexual assault of men by other men reinforces the notion that rape is a crime of aggression.

Crimes against, Statistics, Men, Rape

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