Ovarian mass in pregnancy: case series
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20204326Keywords:
Ovarian mass in pregnancy, Mucinous cystadenoma, Serous cystadenoma, Dermoid cyst, Paraovarian cystAbstract
Ovarian masses in pregnancy are not uncommon. Ovarian masses during pregnancy should be accurately evaluated to identify the patients who need surgical interventions from those where it can be managed conservatively. Ultrasound and magnetic resonance imaging (MRI) are safe diagnostic tools during pregnancy. The overall incidence of ovarian tumours in pregnancy is 2.4-5.7%. Most masses are functional and asymptomatic and up to 70% resolve spontaneously in the second trimester. Both open surgery and laparoscopy can be performed considering the tumour diameter, gestational age and associated complications. A multidisciplinary approach is necessary in case of high suspicion of malignancy. This study evaluates the clinical features, course in pregnancy, management and pregnancy outcome in patients with ovarian masses diagnosed during pregnancy. This was a retrospective analysis of medical records of 6 patients diagnosed with ovarian mass during pregnancy in the department of Obstetrics and Gynaecology at Kanachur Institute of Medical Sciences, Mangalore from June 2019 to June 2020.
References
Kwon YS, Mok JE, Lim KT, Lee IH, Kim TJ, Lee KH et al. Ovarian Cancer during Pregnancy: Clinical and Pregnancy Outcome. J Korean Med Sci. 2010;25:230-4.
JoãoCavaco-Gomes, Moreira CJ, Rocha A, Mota R, Paiva V, Costa A. Investigation and Management of Adnexal Masses in Pregnancy. Hindawi Publishing Corporation Scientifica. 2016;3012802:9.
Eichenberger-Gautschi T, Smith A and Sayasneh A. Ovarian masses in pregnancy: a single centre retrospective study. BJMP. 2018;11(1):a1109.
Dahiya P, Latika. Ovarian mass in pregnancy: a case report. Int J Reprod Contracept Obstet Gynecol. 2015;4:915-7.
Ioffe OB, Simsir A, Silverberg SG. Pathology. In: Practical Gynecologic Oncology. 3rd ed. Philadelphia. Berek JS, Hacker NF, editors. Lippincott Williams & Wilkins Company. 2000:213-214.
Aujang RE. Giant ovarian cyst and pregnancy. Case report and literature review. Ginecol Obstet Mex. 2011;79:235-8.
White M and Stella J. Ovarian torsion: 10-year perspective. Emergency Medicine Australasia. 2005;17(3):231-7.
Houry D and Abbott JT. Ovarian torsion: a fifteen-year review. Annals of Emergency Medicine. 2001;38(2):156-9.
Tsafrir Z, Hasson J, Levin I, Solomon E, Lessing JB, Azem F. Adnexal torsion: cystectomy and ovarian fixation are equally important in preventing recurrence. European Journal of Obstetrics Gynecology and Reproductive Biology. 2012;162(2)203-5.
Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. The Australian and New Zealand Journal of Obstetrics and Gynaecology. 2006;46(1):52-4.
Koo Y, Kim HJ, Limetal K. Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2012;52(1):34-8.
de Haan J, VerHeecke M, Mant FA. Management of ovarian cysts and cancer in pregnancy. Facts Views Vis Obgyn. 2015;7(1):25-31.
