Document Detail


Ovarian cysts during pregnancy: dilemmas in diagnosis and management.
MedLine Citation:
PMID:  16263541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
With routine obstetric ultrasound examinations, ovarian cysts are now more commonly diagnosed during pregnancy and their management is still a challenging clinical issue among obstetricians. The aim of this paper is to review the different management options of ovarian cysts detected during pregnancy, and it highlights the emergence of laparoscopic technique as a valuable therapeutic tool in these conditions. The review shows that conservative management and ultrasound follow-up is sufficient for the majority of cases of ovarian cysts during pregnancy. It also discusses the limitations of tumour markers during pregnancy, and the controversy around ultrasound-guided aspiration procedures. Emerging evidence suggests that if surgery is necessary, then it is preferable to perform an elective laparoscopic procedure at 16 - 23 weeks' gestation. It is time to consider establishing a UK registry to monitor the treatment offered to those women and to develop national guidelines to help in the management of this controversial issue.
Authors:
S A El-Shawarby; A F Henderson; M A Mossa
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  25     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-01-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  669-75     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Maidstone Hospital, UK. salemshawarby@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Biological Markers / blood
CA-125 Antigen / analysis
Female
Follow-Up Studies
Gestational Age
Great Britain
Humans
Laparoscopy / methods
Magnetic Resonance Imaging / methods
Observation
Ovarian Cysts / diagnosis*,  therapy*
Patient Selection
Pregnancy
Pregnancy Complications / therapy*,  ultrasonography*
Pregnancy Outcome*
Prenatal Care / methods
Prenatal Diagnosis / methods*
Risk Assessment
Sensitivity and Specificity
Ultrasonography, Prenatal
Chemical
Reg. No./Substance:
0/Biological Markers; 0/CA-125 Antigen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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