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KMID : 0358419760190120885
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 12 p.885 ~ p.896
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A clinical study on the ovarian tumor in pregnancy
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김현찬/Kim HC
김순애/이명근/유석권/Kim SA/Lee MK/Yoo SK
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Abstract
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1. The incidence of benign tumors in pregnancy was 1 in 353 pregnancy and 312 delivery. Malignant tumors was 1 in 7771 pregnancy and 6546 delivery 2. Benign tumors complicating pregnancy was found in 7.8% among all operated benign tumors and the malignancy was in 2.0% among all malignant tumors operated. 3. Mean age was 30 years old and the range was 21-43 years old 4. Mean gravidity was 2.9 (1-21) and mean parity was 1.8 (0-7) 5. According to the histopatholgical type, benign cystic teratoma was found in 32cases (48.5%) serous cystadenoma in 10 cases (15.2%) mucinous cystadenoma in 9 caes (13.6%) simple cyst in 5 cases (7.6%) theca lutein cyst in 4 cases (6.1%) and 1 cases (1.5%) of struma ovarii benign mesenchymal tumor and corpus leteum cyst were found the malignant tumors were 1 case of metastatic krukenberg tumor serous cystadenocarcinoma and malignant teretoma. 6. The right side tumor was more common being 34 cases (51.5%) and the left was in 25 cases (37.9%) 4 cases of benign cystic teratoma 2 cases of theca lutein cyst and 1 case metastatic Krukenberg tumor were bilateral. 7. As to the initial chief complaints or the mode of presentation low abdominal pain was found in 27 cases (40.9%) adnexal mass in 18cases (27.3%) vaginal spotting or bleeding in 7 cases (10.6%) pressure symptoms in 5 cases (7.6%) abdominal discomrfort in 4 cases (6.1%) labor pain 4 cases (6.1%) gastroinitestinal troubles in 3 cases (4.5%) and abdominal distension in 3 cases (4.5%) etc. the fourteen cases (21.2%) free of symptoms or signs, were detected at anetnatal care. 8. Among the 66 cases 50 cases (75.6%) were correctly diagnosed before operation or delivery. 9. Thirty cases (45.5%) were operated in the first trimester, 20 cases (30.3%) in the second trimeseter 12 cases (18.2%) in the third trimester and 4 cases (6.01%) in the puerperium.
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KEYWORD
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