Ovarian tumors in pregnancy

Abstract

OBJECTIVES: The presence of adnexal tumours in pregnancy is a significant problem for obstetricians requiring quick diagnosis and operation. MATERIALS AND METHODS: The paper presents 22 cases of ovarian tumours diagnosed and treated during pregnancy. In 12 cases laparoscopical cystectomies were performed, in 10 cases laparotomies were done. RESULTS: Fifteen patients delivered at term, 7 of them by the natural way. In 8 cases cesarean sections were performed: in 4 cases because of obstacle to labour in the next 4 because of other obstetricians reasons. Benign ovarian tumors were found in 20 cases (cystis dermoidalis 18%, cystis follicularis 13.8%, cystoma serosum 13.8%, cystis simplex 18%, cystis corporis lutei 9.2%, cystis picea 18%). In 1 case borderline malignancy cystadenoma papillare mucinosum were diagnosed and in 1 case during laparoscopy in 21 weeks of pregnancy ovarian malignant metastatic tumors were found. Two patients miscarriage in 11 and 13 weeks of pregnancy. Last two pregnancies are still observed. CONCLUSION: Ovarian tumors diagnosed during pregnancy have to be removed because of the thread of malignancy and pregnancy or labour complications.