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KMID : 0368019900130010129
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Journal of Soonchunhyang University
1990 Volume.13 No. 1 p.129 ~ p.136
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A Clinical and Pathologic Study on the Ovarian Tumors in Pregnancy
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이해혁/Lee H.H.
이정재/남계현/이권해/조태호/Lee J.J./Nam K.H./Lee K.H./Cho TlH.
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Abstract
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Clinical and pathologic review of ovarian tumors in pregnancy was presented. During the 15 years from 1974 to 1988 there were 54 patients at the Department of Obstetrics and Gynecology, Soonchunhyang University Hospital.
The result obtained follows:
1) The incidence of tumors in pregancy was 1 in 391.9 pregnancies and they were all benign.
2) Mean age was 26.9 years old and the range was 20~42 years old.
3) Mean parity was 0. 99.
4) As to the initial chief complaints or the mode of presentation, low abdominal pain was found in 19 cases(35.2%), vaginal spotting or bleeding in 4 cases(7.4%), palpable mass in 14 cases(25.9%). In the 17 cases(31.5%), free of symptoms or signs were detacted at antenatal care.
5) 31 cases(57.4%) were operated in first trimester, 16 cases(29.6%) in the second trimester, 7 cases(13%) in the third trimester.
6) Histopathology of those cases were benign cystic teratoma in 19 cases(35.2%), serous cystadenoma in 6 cases(11.1%), simple cyst in 4 cases(7.40%), mucinous cystadenoma in 4 cases(7.4%),
7) Size of tumor was under 6cm in 17 cases, 6~10.9cm in 30 cases, 11~14.9cm in 7 cases.
8) Complications of tumor were occurred in 12 cases, being 9 cases of torsion, 3 cases of rupture.
9) The left side tumor was more common being 31 cases(57.40%), and the right was 18 cases(33.3%) and 5 cases(9.3%) of tumor were bilateral.
10) Treatment was surgical being conservative cystectomy, salpingoophorectomy, adjuvant treatment were bed rest and administration of opium tincture, petrolatum
and progesterone injection during the hospital day.
11) Outcome of pregnancy and mode of delivery; Spontaneous abortion occurred in 3 cases, full term delivery was noted in 17 cases, and Cesarean section in 10 cases.
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