| A retrospective analysis of ovarian endometriosis during pregnancy. | |
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MedLine Citation:
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PMID: 19356751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To clarify the frequency of pregnancy complicated by ovarian endometriosis and to investigate the size change and outcome of ovarian endometriosis during pregnancy. DESIGN: Retrospective study. SETTING: Departments of obstetrics and gynecology of the Osaka University and Izumiotsu Municipal Hospitals of Osaka, Japan. PATIENT(S): Women who delivered between 1996 and 2007. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): The frequency of pregnancies complicated by ovarian endometriosis and the size change of the lesions during pregnancy. RESULT(S): The frequency of ovarian endometriosis-complicated pregnancy has almost quadrupled over the last 12 years, to become the most common adnexal mass detected during pregnancy; it was 0.14% (five cases among 3558 deliveries) during the 6-year period from 1996 to 2001, but has increased to 0.52% (19 cases among 3599 deliveries) during the 6-year period from 2002 to 2007, a statistically significant increase of 3.8-fold. Among 25 ovarian endometriotic lesions observed during pregnancy in 24 women (one case had two lesions), the size of the cyst decreased in 13 lesions (52%), went unchanged in 7 (28%), and increased in 5 (20%), that demonstrated decidualization, abscess and rupture. CONCLUSION(S): Ovarian endometriosis during pregnancy can be safely observed conservatively; however, further investigation is required to predict the occurrence of abscess formation or rupture of ovarian endometriosis, and to distinguish the enlargements due to malignant transformation from those related to decidualization. |
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Authors:
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Yutaka Ueda; Takayuki Enomoto; Takashi Miyatake; Masami Fujita; Ryo Yamamoto; Takeshi Kanagawa; Hiromu Shimizu; Tadashi Kimura |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-04-07 |
Journal Detail:
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Title: Fertility and sterility Volume: 94 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-25 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 78-84 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Endometriosis / complications, diagnosis*, epidemiology Fallopian Tube Diseases / complications, diagnosis, epidemiology Female Humans Ovarian Diseases / complications, diagnosis*, epidemiology Pregnancy Pregnancy Complications / diagnosis*, epidemiology Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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