Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

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• 作者：Kameswari Surampudi ; Praveen Kumar Nirmalan…
• 关键词：Adnexal mass ; Laparoscopy ; Ovarian cyst ; Ovarian tumour ; Pregnancy ; Ultrasonography
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：291
• 期：1
• 页码：53-58
• 全文大小：197 KB
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  20. Usui R,
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gynecology
  Obstetrics and Perinatology
  Endocrinology
  Human Genetics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0711

文摘

Purpose Adnexal masses in pregnancy are often incidentally detected during sonography and most resolve spontaneously by early second trimester. This study aimed to look at the prevalence and management of adnexal masses in pregnancy at a tertiary care referral perinatal hospital. Methods This is a retrospective study of all women with adnexal masses (excluding ectopic gestations and non-gynaecological lesions) identified pre-pregnancy or during pregnancy (antepartum/intrapartum) from January 2006 to August 2013 at the study institute. Results The study identified 252 women (0.6, 95?%, CI: 0.5, 0.7) with adnexal masses and mean (SD range) age of 27.1 (4.21, 18-9) years. Majority (80?%) of the masses were diagnosed incidentally. 170 (67.5?%) women were offered conservative management and cysts resolved in half of them. 87 (34.5?%) women had adnexal surgery and 15.1?% were operated during the antepartum period because of persistent abdominal pain or suspicious sonographic findings. Three (1.2?%) malignancies and five (2.0?%) borderline ovarian tumours were diagnosed on histopathological examination. 16 (6.3?%) women were lost to follow-up antenatally. Pregnancy carried to term in 175 (69.4?%) women. Perinatal mortality rate was 31.1/1,000 total births (caused by prematurity). Complications encountered were torsion (7.1?%), malignancy (1.2?%), rupture (0.4?%) and infection (0.4?%). Conclusion Although conservative management was appropriate in the majority of cases, the study identifies the need to standardize diagnosis, investigations and management for a better evaluation of outcomes.