| The management of a persistent adnexal mass in pregnancy. | |
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MedLine Citation:
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PMID: 7485328 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Our purpose was to evaluate the pathologic features and outcome of pregnancy complicated by a persistent adnexal mass that was managed conservatively or with surgical intervention. STUDY DESIGN: A review was performed of patients who were seen with an adnexal mass in pregnancy from January 1988 to June 1994. We included patients with simple or complex masses > or = 6 cm that were persistent on ultrasonographic evaluation. We excluded cysts that spontaneously resolved by 16 weeks' gestation and those diagnosed after delivery. RESULTS: Thirty-one patients of 43,372 deliveries were identified with persistent adnexal masses that met the above criteria. Nineteen (59%) of these patients had operative intervention, whereas 12 (41%) were managed conservatively. Of the patients who had surgery, nine had functional cysts, six had mature cystic teratomas, and four had other benign cysts. Complications within 12 hours of surgery included one spontaneous abortion and one patient with rupture of membranes. Twelve patients were managed nonsurgically. Seven patients had conservative management, whereas five patients had percutaneous drainage of simple cysts (negative results on cytologic study) that were symptomatic. CONCLUSIONS: Although the incidence of ovarian cancer in pregnancy is low, the incidental finding of an adnexal mass in pregnancy is becoming more common. Because complications of abdominal surgery are increased in pregnancy, surgical management of this prenatal complication needs to be reconsidered. Our data support a randomized clinical study to determine optimal management of an adnexal mass in pregnancy. |
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Authors:
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D N Platek; C E Henderson; G L Goldberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 173 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1995 Oct |
Date Detail:
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Created Date: 1995-12-05 Completed Date: 1995-12-05 Revised Date: 2004-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1236-40 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10461, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adnexal Diseases
/
surgery,
therapy*,
ultrasonography Adult Female Humans Maternal Age Ovarian Cysts / surgery, therapy, ultrasonography Ovarian Neoplasms / therapy Pregnancy Pregnancy Complications / surgery, therapy*, ultrasonography Pregnancy Complications, Neoplastic / therapy Pregnancy Outcome Pregnancy, High-Risk Retrospective Studies Teratoma / therapy |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 1996 Sep;175(3 Pt 1):750
[PMID:
8828447
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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