The reported incidence of ovarian tumors during pregnancy varies from as high as 1:630 to as low as 1:2020 and is not only dependent on the population being studied but is also greatly influenced by the frequency of routine prenatal ultrasound (US) examinations. Only 1-2% of tumors detected during first trimester will persist until birth.
The aim of this study was to assess the adnexal masses epidemiology in pregnancy, their evolution, potential complications, and of course the management options.
It was a retrospective study which analyzed pregnancies with ovarian tumors between January 2013 and June 2018, from 1st Clinic of Obstetrics and Gynecology Iasi, Romania. 28 patients were included.
The mean age of patients was 30.39 years (range 17-38 years). 15 ovarian mass were on the right side and 13 of them on the left side. Four women had diagnosis of ovarian cysts in the first trimester but from these only 2 persisted until delivery. We had 2 cases with ovarian torsion, one with increasing cyst from 6cm to 10cm at term and the other one with FIV and hiperstimulation syndrom at 7 weeks of gestation (two cysts on the same ovary of 5cm each with necrosis). For 7 cases the diagnosis of ovarian tumor was established during surgery (caesarean section). Six ovarian cysts had dimensions between 15cm and 30cm. The delivery for our patients was at term excepting 3 cases with birth at 34-36 weeks. Only 4 women had vaginal birth, one with laparoscopic surgery after that for ovarian torsion. Histological type of mass was: 16 serous cysts, 4 mucinous cystadenomas, 6 dermoid cysts, one ovarian fibroma, and one struma ovarii.
During period of analysis we didn’t have malignant ovarian tumors. Only 2 cases had functional cysts. The presence of ovarian masses wasn’t a cause of prematur delivery even for tumors of high dimensions.
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TÎRNOVANU Mihaela Camelia 
PASAT Sebastian 
TÎRNOVANU Ştefan Dragoş 
CARA Andreea Raluca 
MUCILENIŢA Cerasela 
IOV Alexandra 
ANDREI Mihnea Oreste 
ONOFRIESCU Mircea 
TÎRNOVANU Vlad Gabriel 
 University of Medicine and Pharmacy “Gr T Popa” Iaşi (ROMANIA)
 Clinical Women Hospital “Cuza Vodă” Iaşi (ROMANIA)
 Student University of Medicine and Pharmacy “Gr T Popa” Iaşi (ROMANIA)
Contributo selezionato da Filodiritto tra quelli pubblicati nei Proceedings “SOGR 2018 – 17th National Congress of the Romanian Society of Obstetrics and Gynecology & First Advanced Colposcopy Course - 2018”
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Contribution selected by Filodiritto among those published in the Proceedings “SOGR 2018 – 17th National Congress of the Romanian Society of Obstetrics and Gynecology & First Advanced Colposcopy Course - 2018”
To buy the Proceedings click here.