Document Detail


The management of ovarian pathology in pregnancy.
MedLine Citation:
PMID:  19230784     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The extensive use of ultrasound in early pregnancy populations has led to more ovarian lesions being diagnosed incidentally in asymptomatic gravid women. The majority of these lesions are physiological in nature and tend to resolve spontaneously as the pregnancy progresses. Expectant management or a "watch and wait" approach is the benchmark standard of care for a woman with an ovarian mass diagnosed during pregnancy. This approach assumes the woman is relatively asymptomatic, and the likelihood of malignancy is negligible. The prevalence of malignancy in pregnancy is rare indeed, i.e. 1 in 15,000-32,000. It is the discriminatory ability of ultrasound, in experienced hands, to distinguish between benign and malignant ovarian lesions that allow appropriate triaging during pregnancy. Discriminating benign from malignant masses is crucial not only to optimize the management of malignancies, but also to avoid unnecessary intervention that may adversely affect maternal or foetal outcomes. This review will focus on the management of ovarian masses in pregnancy.
Authors:
Tommaso Bignardi; George Condous
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Publication Detail:
Type:  Journal Article     Date:  2009-02-20
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  23     ISSN:  1532-1932     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  539-48     Citation Subset:  IM    
Affiliation:
Acute Gynaecology, Early Pregnancy, and Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Nepean Hospital Penrith, Sydney, Australia. tommaso.bignardi@alice.it
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