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Ovarian tumors associated with pregnancy
Summary
Ovarian surgery during pregnancy effectively diagnoses and treats ovarian masses, with most being benign. Early intervention in the first trimester ensures favorable outcomes for both mother and baby.
Area of Science:
- Gynecology
- Obstetrics
- Surgical Oncology
Background:
- Pregnancy-associated ovarian tumors require careful management.
- Understanding their clinical characteristics is crucial for optimal patient care.
Purpose of the Study:
- To investigate the clinical characteristics, incidence, and outcomes of ovarian tumors surgically resected during pregnancy.
Main Methods:
- Retrospective analysis of 106 cases of ovarian tumors surgically resected during pregnancy.
- Evaluation of incidence, clinicopathologic features, and patient outcomes.
Main Results:
- Physiologic, benign, and malignant tumors comprised 29.2%, 66%, and 4.7% of cases, respectively.
- Dermoid cysts were the most common benign ovarian neoplasm.
- The spontaneous abortion rate was 10%, with 76.3% achieving full-term delivery.
Conclusions:
- Ovarian surgery in the first trimester is vital for histologic diagnosis and excluding malignancy.
- Early surgical intervention for persistent or enlarging ovarian masses during pregnancy leads to favorable outcomes.