Adnexal masses in pregnancy: How often are they malignant?

Leiserowitz, Gary S.; Xing, Guibo; Cress, Rosemary D.; Brahmbhatt, Bhoomi; Dalrymple, John L.; Smith, Lloyd H.

doi:10.1016/j.ygyno.2005.10.022

Cited by 254 publications

(178 citation statements)

References 21 publications

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“…The risk of malignancy during pregnancy is approximately 2-3 % [11][12][13]; however, most cases are diagnosed in early stages and usually have good maternal and fetal prognosis [14].…”

Section: Discussionmentioning

confidence: 99%

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

et al. 2014

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Management of adnexal masses during pregnancy is challenging for most gynecologists. When surgery is needed, a minimally invasive approach should be preferred. The aim of this study was to evaluate the safety and feasibility of the closed entry technique for laparoscopic management of adnexal masses during pregnancy. We reviewed clinical records and videos of laparoscopic procedures performed during pregnancy. Seventeen pregnant patients with diagnosis of adnexal mass that required surgery underwent laparoscopic surgery using the closed entry or Veress technique. We searched for complications related to surgery and obstetrical and perinatal outcomes. Median gestational age at the moment of surgery was 17 weeks (range, 6-30 +4 weeks). A total of 18 interventions were performed: 12 salpingo-oophorectomies, 3 cystectomies, 1 salpingectomy, and 2 ovarian detorsions. There were no major operative or entry-related complications. Median hospital stay was 2 days (range, 1-5). Perinatal outcomes were as follows: four preterm births (all of them induced), nine full-term deliveries, one early pregnancy loss at 7 weeks, one miscarriage at 18 weeks, and two ongoing uncomplicated pregnancies. Laparoscopic approach using closed entry technique with an individual selection of the puncture site is safe in the management of adnexal masses that require surgery during pregnancy. In our experience, the Veress technique is more versatile as it gives the surgeon more freedom to choose the location of the first trocar in patients with important space limitations due to the size of the adnexal mass and/or the enlarged gravid uterus.

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“…The risk of malignancy during pregnancy is approximately 2-3 % [11][12][13]; however, most cases are diagnosed in early stages and usually have good maternal and fetal prognosis [14].…”

Section: Discussionmentioning

confidence: 99%

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

et al. 2014

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“…2 Whenever malignancy is suspected in ovarian tumor during pregnancy, it is generally a germ cell tumour or borderline epithelial ovarian tumour. 4,5 These are generally of low stage and low grade and consequently prognosis is good. 4,5 The incidence of surgery during pregnancy is 1:1312.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 These are generally of low stage and low grade and consequently prognosis is good. 4,5 The incidence of surgery during pregnancy is 1:1312. 2 The torsion of ovarian cyst is the commonest complication during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Ovarian mass in pregnancy: a case report

Dahiya

Latika

2015

Int J Reprod Contracept Obstet Gynecol

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“…Los tumores anexiales pueden afectar entre el 0,01 y 0,06% de los embarazos (11)(12)(13)(14). Se estima que el 2,9% de los tumores pueden ser malignos o de baja malignidad (borderline) (15).…”

Section: Introductionunclassified

Torsión Anexial Y Embarazo: Resolución Laparoscópica Mínimamente Invasiva, Con Entrada Bajo Visión Directa

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENLas masas anexiales durante el embarazo son de baja frecuencia, sin embargo tienen una alta probabilidad de complicarse, produciéndose torsión hasta en un 25% de ellas. Ante la necesidad de una resolución quirúrgica, debemos tener en cuanta los riesgos de desencadenar una pérdida fetal, como resultado de una cirugía muy invasiva. Gracias a los avances tecnológicos, el mayor conocimiento y manejo de anestesia durante el embarazo, la laparoscopia debería constituir la mejor vía para realizar estas cirugías. De esta forma, se aplican todos los principios de mínima invasión, facilitando un menor daño y rápida recuperación, con poca probabilidad de afectar el embarazo. Presentamos un caso de quiste anexial complicado con torsión, durante el segundo trimestre del embarazo, resuelto por medio de cirugía laparoscópica, con entrada bajo visión directa con cámara, para reducir la posibilidad de daño uterino.PALABRAS CLAVE: Embarazo y cirugía, quiste anexial complicado, laparoscopia, cirugía mínima-mente invasiva SUMMARYThe adnexal masses during pregnancy are of low frequency; nevertheless they have a high probability of complication. The torsion can be observed in a 25% of them. When they need surgery, we must be aware of the risks and morbidity imposed to the fetus and the patient. The technological advance and best knowledge of fetal physiology and hemodynamics plus anesthesia during the pregnancy, allow that laparoscopy constitutes the best via to perform this surgery. By the way, all principles of minor invasion are applied, with short hospital stay and lesser morbidity affecting the pregnancy. We present a case of a complicated adnexal cyst, with torsion, during the second trimester of the pregnancy. A laparoscopic surgery was performed, with entrance under direct camera vision, to reduce uterine damage.KEY WORDS: Pregnancy and surgery, complicated adnexal cyst, laparoscopy, minimally invasive surgery REV CHIL OBSTET GINECOL 2008; 73(4): 277 -282

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Adnexal masses in pregnancy: How often are they malignant?

Cited by 254 publications

References 21 publications

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Ovarian mass in pregnancy: a case report

Torsión Anexial Y Embarazo: Resolución Laparoscópica Mínimamente Invasiva, Con Entrada Bajo Visión Directa

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