Bilateral luteomas of pregnancy

Dasari, Shashikala; Rangaram, P; Gundabattula, Sirisha Rao; Joseph, Eugen

doi:10.3109/01443615.2013.790347

Cited by 5 publications

(13 citation statements)

References 7 publications

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“…[2,7,12–14,18,19,22,23] In addition, partial ovariectomy or oophorectomy remained the commonly performed procedures, in these instances, the biopsy ought to have sufficed and preservation of the ovaries should have been prioritized. [2–4,6–10,12–22,24,25] In the present study, we present a complete case of pregnancy luteoma including antenatal diagnosis and management strategy. Written consent was obtained from all patients.…”

Section: Introductionmentioning

confidence: 99%

“…[2,7,[12][13][14]18,19,22,23] In addition, partial ovariectomy or oophorectomy remained the commonly performed procedures, in these instances, the biopsy ought to have sufficed and preservation of the ovaries should have been prioritized. [2][3][4][6][7][8][9][10][12][13][14][15][16][17][18][19][20][21][22]24,25] In the present study, we present a complete case of pregnancy Written informed consent was obtained from the patient. The authors affirm that human research participants provided informed consent for the publication of the images in all Figures.…”

Section: Introductionmentioning

confidence: 99%

“…The factors of morbidity, pathogenesis, and their potential influences on pregnancy remain unclear. Using the search terms “pregnancy luteoma,” we conducted a comprehensive literature review from 2000 to the present on PubMed and Web of Science databases, resulting in the identification of 25 reports encompassing 26 cases of pregnancy luteomas [2–26] (Table 1). To summarize the literature, it is noteworthy that achieving an accurate prenatal diagnosis poses a significant challenge.…”

Section: Introductionmentioning

confidence: 99%

“…Some reports have described luteoma detection occurring incidentally during routine ultrasonography antepartum, [2][3][4][5]7,9,[12][13][14]16,18,19,[21][22][23] in such cases, when the ultrasound and magnetic resonance imaging (MRI) results suggested a diagnosis of ovarian neoplasia, a laparotomy was offered in order to rule out malignancy. [2,7,[12][13][14]18,19,22,23] In addition, partial ovariectomy or oophorectomy remained the commonly performed procedures, in these instances, the biopsy ought to have sufficed and preservation of the ovaries should have been prioritized. [2][3][4][6][7][8][9][10][12][13][14][15][16][17][18][19][20][21][22]24,25] In the present study, we present a complete case of pregnancy Written informed consent was obtained from the patient.…”

Section: Introductionmentioning

confidence: 99%

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Antenatal diagnosis and management of pregnancy luteoma: A case report and literature review

Shen

Tao

et al. 2023

Medicine

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Background: Pregnancy luoteomas are tumor-like ovarian lesions that emerge during pregnancy and spontaneously regress after delivery. Antenatal diagnosis is infrequently reported, and unnecessary surgery appears to be common in literature reports. Case summary: A 28-year-old primigravida with bilateral adnexal masses was discovered at 32 + 5 weeks during prenatal ultrasound evaluation. Combined with clinical presentation, auxiliary examinations including blood test, magnetic resonance imaging, gastroscopy, and consultation of multi-disciplinary team, we successfully made a diagnosis of pregnancy luteoma and provided conservative management recommendations. A cesarean section was conducted on this patient at 34 + 2 weeks of gestation due to fetal distress. The newborn was small for gestational age but normal in appearance. We performed biopsies of the adnexal masses, which were confirmed to be pregnancy luteomas using both intraoperative frozen section and final pathological diagnosis. Serum testosterone, cancer antigen 125, and alpha-fetoprotein levels gradually declined and normalized on postoperative day 28. The masses significantly decreased in size as shown by ultrasonic and magnetic resonance imaging examination on postoperative day 7, with the ovaries returning to their normal size by postoperative day 30. Conclusion: Prenatal diagnosis of pregnancy luteoma poses a challenge, requiring hormonal examinations, ultrasound, magnetic resonance imaging, and gastrointestinal endoscopy for identification. Caution must be exercised to avoid overtreatment. While additional cases are needed to summarize the imaging features and effects of excess hormones on the both mother and fetus, further research is necessary for a comprehensive understanding.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Antenatal diagnosis and management of pregnancy luteoma: A case report and literature review

Shen

Tao

et al. 2023

Medicine

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“…Hence, a good appreciation of the clinical and imaging features of PL can avoid unnecessary exploratory laparotomies or termination of pregnancy. Current evidence on sonographic appearance is predominantly limited to case reports 29–42 . Herein, we summarize the clinical characteristics and neonatal outcomes of patients with PLs to improve our understanding of the natural history of the disease and help clinicians manage patients.…”

Section: Introductionmentioning

confidence: 99%

Imaging features, clinical characteristics and neonatal outcomes of pregnancy luteoma: A case series and literature review

Shang,

Huang,

Zheng

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionThis study aimed to investigate the imaging features, clinical characteristics and neonatal outcomes of pregnancy luteoma.Material and methodsWe retrospectively analyzed patients with pregnancy luteoma admitted to the First Affiliated Hospital of Sun Yat‐sen University between January 2003 and December 2022. We recorded their imaging features, clinical characteristics and neonatal outcomes. Additionally, we reviewed relevant studies in the field.ResultsIn total, 127 cases were identified, including eight from our hospital and 119 from the literature. Most patients (93/127, 73.23%) were of reproductive age, 20–40 years old, and 66% were parous. Maternal hirsutism or virilization (such as deepening voice, acne, facial hair growth and clitoromegaly) was observed in 29.92% (38/127), whereas 59.06% of patients (75/127) were asymptomatic. Abdominal pain was reported in 13 patients due to compression, torsion or combined ectopic pregnancy. The pregnancy luteomas, primarily discovered during the third trimester (79/106, 74.53%), varied in size ranging from 10 mm to 20 cm in diameter. Seventy‐five cases were incidentally detected during cesarean section or postpartum tubal ligation, and 39 were identified through imaging or physical examination during pregnancy. Approximately 26.61% of patients had bilateral lesions. The majority of pregnancy luteomas were solid and well‐defined (94/107, 87.85%), with 43.06% (31/72) displaying multiple solid and well‐circumscribed nodules. Elevated serum androgen levels (reaching values between 1.24 and 1529 times greater than normal values for term gestation) were observed in patients with hirsutism or virilization, with a larger lesion diameter (P < 0.001) and a higher prevalence of bilateral lesions (P < 0.001). Among the female infants born to masculinized mothers, 68.18% (15/22) were virilized. Information of imaging features was complete in 22 cases. Ultrasonography revealed well‐demarcated hypoechoic solid masses with rich blood supply in 12 of 19 cases (63.16%). Nine patients underwent magnetic resonance imaging (MRI) or computed tomography (CT), and six exhibited solid masses, including three with multi‐nodular solid masses.ConclusionsPregnancy luteomas mainly manifest as well‐defined, hypoechoic and hypervascular solid masses. MRI and CT are superior to ultrasonography in displaying the imaging features of multiple nodules. Maternal masculinization and solid masses with multiple nodules on imaging may help diagnose this rare disease.

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Analysis of the clinical characteristics and neonatal outcomes of seven cases of pregnancy luteoma discovered incidentally at cesarean section

Shen

Tang

Huang

et al. 2021

gocm

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ObjectiveIn this study, we summarize the clinical characteristics and neonatal outcomes of patients with pregnancy luteomas that were identified incidentally at cesarean section in our hospital. We also provide a review of the existing literature relating to this condition.MethodsA total of seven cases of pregnancy luteoma were enrolled from our hospital into this retrospective study between March 2013 and February 2018. We then evaluated the clinical characteristics and neonatal outcomes of these patients.ResultsAll seven patients with pregnancy luteomas found incidentally during Cesarean sections at term as a result of obstetric indications. These masses were unilateral and ranged from 2 to 10 cm in size. All patients underwent partial ovariectomies or oophorocystectomy due to presumptive benign ovarian tumors. Two patients had gestational diabetes and one patient had gestational hypertension. One patient developed hirsutism and a deepened voice. Of the seven newborns, three were girls and four were boys. Physical examinations of the newborns were normal and no virilization was detected among the infant girls.ConclusionPregnancy luteoma may be more common than expected. Better strategies are now needed to educate obstetricians about the clinical features of pregnancy luteoma so that they can avoid unnecessary surgery.

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Bilateral luteomas of pregnancy

Cited by 5 publications

References 7 publications

Antenatal diagnosis and management of pregnancy luteoma: A case report and literature review

Antenatal diagnosis and management of pregnancy luteoma: A case report and literature review

Imaging features, clinical characteristics and neonatal outcomes of pregnancy luteoma: A case series and literature review

Analysis of the clinical characteristics and neonatal outcomes of seven cases of pregnancy luteoma discovered incidentally at cesarean section

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