Adnexal masses and pregnancy: a 12-year experience

Sherard, Gordon B.; Hodson, Charles A.; Williams, H. James; Semer, Diane; Hadi, Hamid A.; Tait, David L.

doi:10.1067/s0002-9378(03)00731-2

Cited by 136 publications

(81 citation statements)

References 10 publications

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“…Approximately one-third is diagnosed in young women (< 40 years); however there is lack of knowledge about the epidemiology and management of BOTs diagnosed during pregnancy and even less information of treatment in rural and marginal areas. Previous studies in pregnant patients with adnexal masses have reported an incidence of BOTs of 0.15% to 3% [6] . BOTs are frequently diagnosed during the first trimester and usually they are detected in routine imaging studies.…”

Section: Discussionmentioning

confidence: 99%

“…Around 2% to 3% of masses removed during pregnancy are found to be malignant and this is a key issue to be considered when counseling the patient. Despite this fact, the great majority of high suspicion adnexal masses excised during pregnancy are in fact BOTs [6] . We present a case of a pregnant woman with a borderline ovarian tumor in a Rural Hospital.…”

Section: Introductionmentioning

confidence: 99%

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Management of a borderline ovarian tumor in a pregnant woman in a rural hospital: a case report

Álvarez-Ponce

López-Gómez

Figueroa-Ruiz

et al. 2015

CRCP

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Borderline ovarian tumors (BOTs) are neoplasms with benign and malignant characteristics, affecting young women in childbearing age. Finding incidental adnexal mass in pregnancy is more common with the use of ultrasound, incidence is about 2% to 10% of pregnancies. A great majority of adnexal masses excised during pregnancy are in fact BOTs. Treatment varies depending of gestational age: before 24 gestational week is usually conservative and surgical staging. Radical management is reserved to patients with suspected malignancy and satisfied parity. A 38-years-old woman presented to external consultation in a rural hospital with 36 gestational weeks of her fourth pregnancy, without antenatal control and asymptomatic. Obstetric ultrasound reported: right ovarian tumor with cystic and solid areas. Laboratory data were normal. She underwent elective cesarean and exploratory laparotomy, surgical findings were: a term female baby with no obstetric complications and a right ovarian tumor with trans-operatory report of mucinous epithelial cells with atypia, suggestive of ovarian borderline tumor. Based on this, a hysterectomy with bilateral oophorectomy was performed. No complications were reported. Post-operatory evolution was normal. Definitive histopathological study reported a borderline ovarian tumor.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of a borderline ovarian tumor in a pregnant woman in a rural hospital: a case report

Álvarez-Ponce

López-Gómez

Figueroa-Ruiz

et al. 2015

CRCP

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“…[4][5][6][7][8][9][10][11] This large variation is due to differences in the definition of clinically significant masses. In our study, we chose to review only cases where the mass was 5 cm or greater in size.…”

Section: Discussionmentioning

confidence: 99%

Ovarian tumours associated with pregnancy: a five year retrospective study in a tertiary care hospital

Sunanda

Akhila

2015

Int J Reprod Contracept Obstet Gynecol

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“…5,31,32 For this reason, several studies concluded that surgical intervention should be reserved for adnexal masses larger than 5 to 6 cm and for those masses that persist into the second trimester in order to exclude malignancy and prevent torsion. 2,33 Elective surgery to prevent torsion was recom- mended by Hess and colleagues who found that patients who underwent emergent surgery for ovarian torsion had a higher rate of adverse outcomes compared with those who had elective surgery, 40% versus 2% respectively. 34 More recent studies have shown significantly lower complication rates associated with emergent surgery in pregnancy.…”

Section: Management Of An Adnexal Mass In Pregnancymentioning

confidence: 99%

“…34 More recent studies have shown significantly lower complication rates associated with emergent surgery in pregnancy. 8,29,33,35 Furthermore, some investigators have concluded that the risk of ovarian torsion in patients with incidental adnexal masses in pregnancy is low enough to justify expectant management. 8,29,33,36 Based on this information, some have recommended that elective surgery during pregnancy may be performed only for adnexal masses with sonographic features of malignancy.…”

Section: Management Of An Adnexal Mass In Pregnancymentioning

confidence: 99%

Adnexal Masses in Pregnancy: Diagnosis and Management

Graham¹

2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Abstract:The widespread use of ultrasound in obstetrics has led to an increase in the diagnosis of asymptomatic adnexal masses in pregnancy. Ultrasound is an accurate and safe method for diagnosing the etiology of an adnexal mass and distinguishing benign from malignant pathology. The management of an adnexal mass in pregnancy is controversial. Historically, it was recommended that any adnexal mass be removed electively in the second trimester to exclude malignancy and prevent complications such as torsion, rupture, and obstruction of labor. More recent recommendations have limited surgical intervention in pregnancy to symptomatic adnexal masses and those that are highly suggestive of malignancy. Surgery in pregnancy is associated with an increased risk of adverse pregnancy outcomes. However, laparoscopy appears to be a safe alternative to laparotomy for benign masses when performed by experienced surgeons. Key words: Adnexal mass, pregnancy complications, ultrasound Learning objectives• To list the differential diagnoses of adnexal masses in pregnancy • To interpret ultrasound images of adnexal masses and distinguish benign from malignant masses • To describe the management options for adnexal masses in pregnancy, including the indications and options for surgical intervention.

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Adnexal masses and pregnancy: a 12-year experience

Cited by 136 publications

References 10 publications

Management of a borderline ovarian tumor in a pregnant woman in a rural hospital: a case report

Management of a borderline ovarian tumor in a pregnant woman in a rural hospital: a case report

Ovarian tumours associated with pregnancy: a five year retrospective study in a tertiary care hospital

Adnexal Masses in Pregnancy: Diagnosis and Management

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