[Ovarian tumors in pregnancy].
OBJECTIVE
The clinical characteristics of pregnancy complicated by ovarian tumors were investigated.


METHODS
A review was performed of patients who were seen with ovarian tumors in pregnancy from January 1985 to August 2000. We included patients with simple or complex tumors > 5 cm that were seen on ultrasonographic evaluation.


RESULTS
23 patients of 21,506 deliveries were identified with ovarian tumors that met the criteria. 21 had operative intervention, whereas 2 were managed conservatively. Gestational ages at the time of surgery ranged from 16 to 24 weeks. No intraoperative et postoperative maternal or fetal complications occurred. In 2 cases adnexal masses seen on ultrasonography resolved spontaneously by 16 weeks. 19 ovarian tumors were benign. One patient had a stage III ovarian carcinoma and went to total hysterectomy, and other patient had a stage IA ovarian carcinoma and went to simple adnexectomy.


CONCLUSIONS
Ovarian surgery in pregnancy for persistent masses is important to obtain a final histologic diagnosis. Optimal gestational age for the surgery is among 16 and 24 weeks.
Dudkiewicz
Jan
J
Katedry i Kliniki Ginekologii S. A. M w Zabrzu.
Kowalski
Tomasz
T
Grzonka
Dariusz
D
Czarnecki
Maciej
M
D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014463:Ultrasonography