Ovarian tumors in pregnancy

Area of Science:

• Obstetrics and Gynecology
• Reproductive Medicine

Background:

• Ovarian tumors can complicate pregnancies, posing risks.
• Timely management is crucial for maternal and fetal outcomes.

Purpose of the Study:

• To analyze outcomes of pregnancies with ovarian tumors.
• To establish optimal management strategies based on gestational timing.

Main Methods:

• Analysis of 90 pregnancies complicated by ovarian tumors.
• Evaluation of 'wait-and-see' policies and surgical interventions.

Main Results:

• A 'wait-and-see' approach is recommended until 16 weeks.
• Tumors persisting into the second trimester should be removed between 16-20 weeks.
• Ovarian tumors discovered later in pregnancy necessitate delayed treatment, with Cesarean section and simultaneous tumor extirpation being the preferred method.

Conclusions:

• Management of ovarian tumors during pregnancy requires a gestational-age-dependent strategy.
• Delayed surgical intervention is advised for tumors detected in the latter half of pregnancy.
• Cesarean section combined with tumor removal offers the best approach for term deliveries.