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Ovarian tumours in pregnancy.
A R el-Yahia1, J Rahman, M S Rahman
1Department of Obstetrics and Gynaecology, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1991
Summary
Pregnancy-associated ovarian tumors occur in 1:653 deliveries, often diagnosed early. Management requires individualized treatment plans considering tumor type and patient factors.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Oncology
Background:
- Ovarian tumors during pregnancy present diagnostic and management challenges.
- Early detection and appropriate intervention are crucial for maternal and fetal well-being.
Purpose of the Study:
- To review the incidence, diagnosis, and management of ovarian tumors during pregnancy.
- To emphasize the importance of early detection and individualized treatment strategies.
Main Methods:
- Retrospective review of ovarian tumors associated with pregnancy from 1982-1991.
- Analysis of incidence, diagnostic methods, tumor types, and treatment outcomes.
Main Results:
- Overall incidence of 1:653 deliveries; 62.7% diagnosed in the first and second trimesters.
- Benign cystic teratomas were most common; malignant tumors occurred in 4.5% of cases.
- 25.4% presented as emergencies; 23.9% were incidental findings during Cesarean section.
Conclusions:
- Routine pelvic examinations and ultrasound are vital for early diagnosis.
- Ovarian examination during Cesarean section is important for incidental tumor detection.
- Treatment must be individualized based on patient and tumor characteristics.