Adnexal masses in pregnancy: An updated review

Abstract

Adnexal masses in pregnancy are not commonly encountered. The majority of these masses are discovered incidentally during routine follow-up. However, some of these masses become symptomatic due to their size, location, and impingement of adjacent structures. Several diagnostic modalities can be utilized for the detection of adnexal masses with different sensitivity and specificity rates. The differential diagnosis of adnexal masses discovered during pregnancy is broad and includes both benign and malignant lesions. The management of such lesions has been a subject of debate for years with no consensus regarding the best management plan. Tumor size, site, and the trimester of mass detection are all crucial in management. In this account, we review adnexal masses discovered in pregnancy, the diagnostic modalities utilized for detecting these lesions, their differential diagnosis, and management strategies.

Persistent megalocystic ovaries after ovarian hyperstimulation syndrome in a postpartum patient with polycystic ovarian syndrome: a case report

“…Renal and hepatic functions, which are normal in ordinary controlled ovary hyperstimulation, might altered in sever OHSS and disturb the hormone metabolism [ 7 ]. There are many other benign or malignant tumors that need to be differentiated, such as hyperreactio luteinalis, theca lutein cysts, teratoma, endometriosis cyst, mucinous cystadenoma, and others [ 8 ]. However, cases of persistent megalocystic ovaries existing for a long time after IVF are rarely reported, and the possible mechanism is unknown.…”

Management of adnexal masses' torsion during pregnancy

“…Emergency surgery should be done as soon as possible, for patients with acute abdominal pain with a high suspicion of ovarian torsion [ 3 ]. For patients without symptoms, it´s suggested that observation is adequate since most adnexal masses are functional ovarian cysts and will spontaneously resolve [ 3 , 10 ]. When the surgery takes place between 24 to 34 weeks´ gestation, a prophylactic course of antenatal corticosteroids may be considered for fetal lung maturity given a possible increase in risk for preterm delivery during this gestational age window [ 6 ].…”

Perinatal Assistance to Pregnant Women With First Time Identified Beneficial Ovarian Cyst (Overview of Scientific Works)

“…Як було вказано вище, більшість кістозних утворень яєчників є функціональними та зникають спонтанно без хірургічного втручання в терміні до 16 міс. [58]. Хірургічному втручанню в першу чергу підлягають хворі з ускладненням кіст яєчників.…”