Your browser doesn't support javascript.
loading
A Clinical Study on Adnexal Tumors in Pregnancy / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology ; : 719-724, 2003.
Article in Korean | WPRIM | ID: wpr-135321
ABSTRACT

OBJECTIVE:

To evaluate the clinicopathologic features and clinical outcomes of adnexal tumors in pregnancy.

METHODS:

After review of charts of 51 patients managed at Kyungpook National University Hospital from January 1996 to June 2002, data including clinical findings, treatments and outcomes were analyzed.

RESULTS:

The mean age of pregnant women with adnexal tumors was 28.5 years old and the adnexal tumors were more common in nulliparous pregnant women (74.5%) than parous those. There were asymptomatic or no signs in 40 cases (78.4%), lower abdominal pain in 9 cases (17.6%), vaginal bleeding in 1 case (2.0%) and palpable mass by patient herself in 1 case (2.0%). The surgical treatments were performed at first trimester in 9 cases (19.1%), second trimester in 31 cases (66.0%) and third trimester in 7 cases (14.9%). Postoperative histopathologic diagnoses of adnexal tumors were 22 cases (43.1%) of benign cystic teratoma, 7 cases (13.8%) of functional cyst, 6 cases (11.8%) of serous cystadenoma, 4 cases (7.8%) of mucinous cystadenoma, 4 cases (7.8%) of endometrioma, 3 cases (5.9%) of parovarian cyst and 4 cases (7.8%) of malignancy including 2 cases of mucinous cystadenocarcinoma and 2 cases of mucinous tumor, borderline. The complication resulting from adnexal tumors was torsion of 6 cases (11.8%). The outcome of pregnancy was available in 30 cases, term delivery in 25 cases (83.3%), preterm delivery in 3 cases (10%) and spontaneous abortion in 2 cases (6.7%).

CONCLUSION:

Although the incidence of adnexal tumors with pregnancy is variable according to the reports, the detection rate is more and more increasing due to a widespread application of ultrasound. Thus, obstetricians must always consider adnexal tumors combined with pregnancy and try to minimize the complications of surgery during pregnancy to prevent adverse fetal outcome and maternal morbidity.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parovarian Cyst / Pregnancy Trimester, Second / Pregnancy Trimester, Third / Pregnancy Trimester, First / Teratoma / Uterine Hemorrhage / Abdominal Pain / Abortion, Spontaneous / Incidence / Ultrasonography Type of study: Diagnostic study / Incidence study / Prognostic study Limits: Female / Humans / Pregnancy Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2003 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parovarian Cyst / Pregnancy Trimester, Second / Pregnancy Trimester, Third / Pregnancy Trimester, First / Teratoma / Uterine Hemorrhage / Abdominal Pain / Abortion, Spontaneous / Incidence / Ultrasonography Type of study: Diagnostic study / Incidence study / Prognostic study Limits: Female / Humans / Pregnancy Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2003 Type: Article