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Adnexal masses encountered during cesarean delivery
Eralp Baser1, Selcuk Erkilinc, Sertac Esin
1Department of Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
Summary
Adnexal masses found during cesarean delivery are usually benign and have good outcomes for mothers and babies. Surgical removal is common, with rare instances of ovarian cancer.
Area of Science:
- Gynecology
- Obstetrics
- Surgical Pathology
Background:
- Adnexal masses can complicate pregnancy and delivery.
- Management during cesarean delivery requires careful consideration.
Purpose of the Study:
- To evaluate clinical features and outcomes of adnexal masses treated during cesarean delivery.
- To assess maternal and neonatal outcomes in this specific obstetric scenario.
Main Methods:
- Retrospective review of surgical and pathology databases (2007-2012).
- Analysis of clinicopathologic characteristics and patient outcomes.
- Inclusion of 151 women undergoing cesarean delivery with adnexal masses.
Main Results:
- Adnexal masses occurred in 0.3% of cesarean deliveries.
- Most masses (96.7%) were surgically excised; 54.9% were incidentally found.
- The majority of masses were benign (e.g., dermoid cysts), with 2.0% diagnosed as ovarian cancer.
- Preterm delivery (15.9%) and NICU admission (11.9%) occurred, but without serious neonatal morbidity or mortality.
Conclusions:
- Adnexal masses managed during cesarean delivery typically present a favorable prognosis.
- Maternal and fetal outcomes are generally positive despite the presence of adnexal masses.
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