Document Detail


The management of a persistent adnexal mass in pregnancy.
MedLine Citation:
PMID:  7485328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
D N Platek; C E Henderson; G L Goldberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  173     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-12-05     Completed Date:  1995-12-05     Revised Date:  2004-11-18    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1236-40     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10461, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
Am J Obstet Gynecol. 1996 Sep;175(3 Pt 1):750   [PMID:  8828447 ]

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


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