[The diagnostic and therapeutic management of pregnant women with neoplasms of the reproductive organs].
OBJECTIVE
The aim of the study was the evaluation of the way of diagnostic and therapeutic management in case of neoplasm of the reproductive organ in pregnant women treated in the I Clinic of the Operative Gynaecology in Lublin.


METHODS
In the years 1990-2000 in the I Clinic of the Operative Gynaecology in Lublin, 3556 operations were performed. In 9 cases the operations were carried out because of the neoplasm of the reproductive organ diagnosed in the course of pregnancy. In 8 cases, pregnant women with tumors in the pelvis minor were operated on and in 6 cases benign ovary neoplasms were stated.


RESULTS
In one patient, extraperitoneal tumor coming out from the region of the sacral bone was diagnosed. In one case the patient in the 16th week of pregnancy was operated on and she had 10 cm in diameter myoma enucleated. The myoma was localized on the anterior uterus wall. In patient in the 33rd week of pregnancy with the diagnosed cervical carcinoma of the 2nd degree, diagnosed on the basis of histopathological examination, Caesarean section and Meigs operation were performed. In all operated patients tocolysis was employed. In one case there was a miscarriage in the 16th week of pregnancy following the myoma enucleation. The postoperative course in the remaining women was uncomplicated and pregnancies ended with the delivery of healthy infant.


CONCLUSIONS
The most common neoplasms occurring in pregnancy are simple ovarian cysts and uterine myomas. Among malignant changes sporadically ovarian and cervical carcinomas are met. Although tumors of the reproductive organ in pregnant women are quite rarely met, the diagnostic and therapeutic difficulties reveal the necessity of the though differential diagnosis and accurate establishment of indications for the operation.
Bednarek
Wiesława
W
I Kliniki Ginekologii Operacyjnej Akademii Medycznej w Lublinie.
Morawska
Dorota
D
Kotarski
Jan
J
Zrubek
Henryk
H
D000328:Adult; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D011044:Poland; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome