The thirty three cases of ovarian tumors in pregnancy among 9537 women were reviewed clinically at the Department of Obstetrics and Gynecology, Korea University.
@ES The result obtained were as follows:
@EN 1) The incidence of ovarian tumors in pregnancy was 1 in 289 deliveries.
2) Mean age was 27.9 years old and the range was 20-35 years old.
3) Mean parity was 0.4.
4) According to clinical manifestation, a free of symptoms and sings in 20 cases (60.6%), low abdominal pain in 9 cases (27.3%), vaginal bleeding in 3 cases (9.1%), and palpable mass in 1 case(3.0%) were formed.
5) As to the size of tumor, 15 cases(45.5%) were 5-6cm in diameter, 13 cases (39.4%) were 7-10cm, 2 cases (6.0%) were 11-15cm and 3 cases(9.1%) were over 16cm.
6) Among the reviewed cases, 32 cases (97.0) were unilateral and 1 case(3.0%) was bilateral.
7) As the timing of diagnosis, 48.5% was diagnosed in the lst trimester, 9.1%, in the 2nd trimester, 42.4% in the 3rd trimester.
8) According to the method of diagnosis, known ovarian tumors were 4 cases(12.1%0, 16 case(48.5%) were found by physical examination and ultrasonography and 13 cases (39.4%) were incidental finding during cesarean section.
9) According to histopathologic type, benign cystic teratoma was 7 cases(23.3%), simple cyst was 5 cases(16.7%), mucinous cystadenoma was 4 cases(13.4%), corpus luteum cyst was 4 cases(13.4%), endometrial cyst was 3 cases(10.0%), serous
cystadenoma was
2 cases(6.7%), parovarian cyst, serousmucinous cystadenoma, theca lutein cyst, Blood filled undetermined cyst was 1 case(3.3%) repectively. One case of malignant ovarian tumor was dysgerminoma.
10) As a complicated cases, the torsion of tumor was formed in 2 cases(6.0%) and the rupture of tumor was formed 1 cases(3.0%).
11) Conservative ovarian cystectomy was performed in 13 cases(44.8%), unilateral salpingoophrectory in 13 cases(44.8%), unilateral oophrectomy in 3 cases(6.9%), and ovarian wedge resection in 1 case(3.5%).
12) Outcome of pregnancy and mode of delivery ; Fourteen cases(70%) were followed up. Among them, term delivery in 8 cases(40.0%), among them vaginal delivery in 2 case(25.0%), cesarean section in 6 cases(75.%) and artificial abortion in 6
cases(30.0%)
were ooccured, Lost follow up cases were 6 cases(30.0%).
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