[The diagnostic value of ultrasound examination in detection of ovarian tumors during pregnancy].
OBJECTIVE
Ovarian neoplasms represent one of the diagnostics problems in obstetrics. The enlarged uterus changing the topography of the minor pelvis makes correct diagnosis of ovarian neoplasms difficult.


METHODS
The aim of our study was to evaluate the accuracy of ultrasound examination in diagnostics of ovarian neoplasms during pregnancy.


METHODS
Ultrasound examination was performed in the group of 9,356 pregnant women, admitted to the Institute of Obstetrics and Gynaecology Medical University of Łódź during the second and the third semester.


RESULTS
We diagnosed 14 neoplasmatical ovarian tumors (0.17% examined population). Each of them was of the diameter larger than 50 mm. The other 2 tumors were not visualised in ultrasound examination, but during the laparotomy performed because of acute abdominal symptoms. 15 benign and 1 border line tumor were found among ovarian neoplasms.


CONCLUSIONS
During ultrasound examination in pregnancy should contain routine assessment of both adnexa. There are difficulties in visualisation of adnexal lesions located behind uterus. Therefore the role of ultrasound tumor diagnostic in pregnant women is limited.
Sieroszewski
Piotr
P
I Kliniki Ginekologii i Onkologii Ginekologicznej Instytutu Ginekologii i Połoznictwa AM w łodzi.
Suzin
Jacek
J
Gottwald
Leszek
L
Karowicz-Bilińska
Agata
A
D000328:Adult; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging* / Q000473:pathology; D011256:Pregnancy Outcome; D012680:Sensitivity and Specificity; D016216:Ultrasonography, Prenatal