Investigation and Management of Adnexal Masses in Pregnancy

Cavaco-Gomes, João; Moreira, Cátia Jorge; Rocha, Ana; Mota, Ronaldo; Paiva, Vera; Costa, Antónia

doi:10.1155/2016/3012802

Cited by 30 publications

(50 citation statements)

References 65 publications

(73 reference statements)

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“…The rupture of ovarian tumors during pregnancy reportedly occurs in 0–5% of the cases , while rupture during delivery as in this case is rarely reported. In our patient, the cyst is thought to have ruptured during labor as evidenced by the symptoms of abdominal pain.…”

Section: Discussionmentioning

confidence: 70%

Labor may mask a symptom of the rupture of ovarian endometrial cyst: a case report

Kino

Obata

Osanai

et al. 2018

Clinical Case Reports

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Section: Discussionmentioning

confidence: 70%

Labor may mask a symptom of the rupture of ovarian endometrial cyst: a case report

Kino

Obata

Osanai

et al. 2018

Clinical Case Reports

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“…Some surgeons are hesitant to perform endoscopic surgery during pregnancy due to concerns such as poor surgical visualization, effects of CO 2 insufflation and iatrogenic trocar injury. 8,2,3 Many studies have shown endoscopic surgery to be safe and effective during pregnancy. Laparoscopic surgery in pregnancy is accepted to have lower rates of premature labor and shorter hospital stays compared to laparotomy.…”

Section: Discussionmentioning

confidence: 99%

“…2 However, surgical intervention is indicated in cases of acute abdomen, hydronephrosis, risk of dystocia, and malignancy. 3 Adnexal masses are radiologically classified as simple or complex, and each category includes both benign and malignant neoplasms. Among adnexal masses in pregnant women, 1% of simple masses, and 9% of the complex masses are found to be malignant.…”

Section: Introductionmentioning

confidence: 99%

“…1 Complications of adnexal masses in pregnancy include adnexal torsion, rupture, malignancy, abortion, and preterm delivery. 3 Traditionally, adnexal masses in pregnancy were managed by laparotomy, but recently, studies have shown that laparoscopy during any trimester is safe and feasible although surgery is recommended in the second trimester. 5,6 In contrast to laparotomy, laparoscopic surgery is associated with faster recovery, less pain, and a shorter hospital stay.…”

Section: Introductionmentioning

confidence: 99%

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Laparoendoscopic single-site cystectomy in pregnancy for a benign mullerian serous cystadenofibroma: a case report with review of literature

Rezai

Àlex

Hughes

et al. 2018

OGIJ

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Background: The incidence of adnexal masses in pregnancy is estimated to be 2%. Surgical intervention is required, particularly in the setting of potential malignancy, ovarian torsion, or direct mass affect on the pregnancy. Single incision laparoscopic surgery (SILS) averts the potential morbidity of multiple trocar insertions as it is associated with less bleeding, pain and better cosmetics and tissue retrieval. We describe the use of SILS technique in a 16 5/7-week pregnancy complicated by a 20cm left adnexal cystic mass that was managed with a single-incision laparoscopic left salpingectomy with cystectomy. Case:The patient was a 24 year old, pregnant, Gravida 2 Para 0010 with gestational diabetes and morbid obesity (Body-Mass Index of 42.18). Her only pregnancy ended as a spontaneous abortion. She initially presented to our clinic at 15 3/7 weeks for further evaluation of a large, 19.0 x 15.8 x 9.0cm maternal abdominal cystic mass, which had been detected on prenatal ultrasound. She was managed by Single-Incision diagnostic laparoscopy and Single-incision laparoscopic left salpingectomy and left paratubal cystectomy at 16 5/7 weeks. Pathologic examination of the paratubal cyst revealed the mass to be a benign mullerian serous cystadenofibroma. Her recovery was uncomplicated, with discharge on the first postoperative day. Conclusion:In summary, removal of this patient's adnexal mass in pregnancy was warranted to avert potential complications. The patient's paratubal cyst was drained without leakage and then removed intact through the umbilical incision. Single incision laparoscopic cystectomy for large ovarian and paratubal cysts in pregnancy is not only feasible, but has also been shown to result in better outcomes. There were no complications in this patient intraoperatively, postoperatively, or in a subsequent pregnancy.

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“…Approximately 15%-20% of ovarian epithelial cancers are tumors of low malignant potential and usually have an excellent prognosis (1), with 95-99% long-term survival (2). The incidence of adnexal masses in pregnancy may be approximately 2% to 10% (3,5,6,7,8). Borderline ovarian tumors appear at any age, on average women affected are about the age of 40.…”

Section: Introductionmentioning

confidence: 99%

Borderline ovarian tumor and pregnancy

Gashi¹,

Ismajli²,

Gojnovci³

2019

Ro J Med Pract.

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We present a case of a 26 year-old pregnant woman, who was diagnosed a serous borderline tumor of the ovary, two years ago. CA 125, CA 19-9 and HE4 was within the normal range values. A Cystectomy was performed, where too histopathological diagnosis was decided. The patient was informed in detail about the nature of the disease and the treatment methods, and was assigned the time of surgical intervention (unilateral salpingo-oophorectomy with staging has been recommended), she does not accept any treatment method. After a year of follow-up with tumor markers, an exploratory laparoscopy with ovarian biopsy was performed. Left ovary was without histopathological changes, while the right ovary had histopathological changes for serous borderline tumor of the ovary, but without storm invasion. She decided for surgery. Fifteen days before surgery, she is presented for a routine visit, where pregnancy was confirmed. She was informed about potential risk, but categorically decided to continue the pregnancy. During pregnancy, there was no complication. She is presented for birth at 39+5 weeks of gestation. Due to obstetric status, which is not conducive to vaginal delivery and previous diagnoses, in co-think with the patient, it is decided that birth should be performed with Caesarean section. During a C-section, both ovaries are inspected, there are no macroscopic changes. Biopsy was obtained in both ovaries. The result was the same as two years ago. Because of the scarce studies, it is difficult to know which are the best management practices and especially to women who desire childbearing.

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Investigation and Management of Adnexal Masses in Pregnancy

Cited by 30 publications

References 65 publications

Labor may mask a symptom of the rupture of ovarian endometrial cyst: a case report

Labor may mask a symptom of the rupture of ovarian endometrial cyst: a case report

Laparoendoscopic single-site cystectomy in pregnancy for a benign mullerian serous cystadenofibroma: a case report with review of literature

Borderline ovarian tumor and pregnancy

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