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KMID : 0358419920350091337
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Korean Journal of Obstetrics and Gynecology
1992 Volume.35 No. 9 p.1337 ~ p.1344
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Ovarian Tumors Complicating Pregnancy
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이순애/Lee SA
양화석/이종학/김종화/백원영/신순철/Yang HS/Lee JH/Kim JH/Park WY/Shin SC
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Abstract
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Ovarian tumors complicating pregnancy present challenging diagnostic and therapeutic problems, and there are great variations in the clinical and pathologic characteristics of these tumors and treatment carried out.
A series of 28 patients with ovarian tumors operated upon in pregnancy of during puerperium is presented. The incidence of ovarian tumor associated with pregnancy was 1 in 299. The incidence of malignancy was 3.6%. The most common tumors were the benign cystic teratoma (32.1%) and the only malignant tumor was serous cystadenocarcinoma. Lower abdominal pain was the most presenting symptom in 50% and no symptoms or signs in 32% of patients. The diagnosis was made by physical examination and ultrasound in 50% and made in the first trimester in 50% of the patients. Ovarian tumors which measured less than 6 cm in diameter were 4 cases (14.3%), between 6~10 cm in 15 cases (53.6%), and more than 10cm in 9 cases(32.1%). Complication resulting from ovarian tumors occurred in 8 cases(36.4%), being 7 cases of torsion and 1 cases of rupture.
Conservative ovarian cystectomy was performed in 12 cases(42.9%), unilateral salpingoophorectomy in 10 cases(35.7%), and unilateral oophorectomy in 6 cases(21.4%). The incidence of spontaneous abortion after surgery was 13.6%.
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