Adnexal masses and pregnancy: a 12-year experience.
OBJECTIVE
Our purpose was to describe pregnancy-associated adnexal masses in eastern North Carolina.


METHODS
A retrospective study was performed of 60 adnexal masses resected during pregnancy at a regional referral hospital from January 1990 to March 2002.


RESULTS
Adnexal masses occurred in 0.15% of pregnancies. Average gestational age at diagnosis and surgery was 12 and 20 weeks, respectively. Fifty percent of ovarian tumors were mature cystic teratomas, 20% were cystadenomas, and 13% were functional ovarian cysts. Malignancy occurred in 13%. Tumors with low malignant potential comprised 63% of malignancies. Average cyst size was 11.5 cm for malignancies and 7.6 cm for benign lesions (P value <.05). The preterm birth rate was 9%, the miscarriage rate was 4.7% after elective cases, and average Apgar scores were 7.5 and 8.7 at 1 and 5 minutes.


CONCLUSIONS
The incidence of malignancy in pregnancy-associated adnexal masses was high. Ultrasonography detected internal excrescences in the majority of tumors with low malignant potential. Fetal outcomes were not affected.
Sherard
Gordon B
GB
Department of Obstetrics and Gynecology, East Carolina University, Brody School of Medicine, Pitt County Memorial Hospital, Greenville, NC, USA.
Hodson
Charles A
CA
Williams
H James
HJ
Semer
Diane A
DA
Hadi
Hamid A
HA
Tait
David L
DL
D000022:Abortion, Spontaneous / Q000453:epidemiology; D000291:Adnexal Diseases / Q000453:epidemiology* / Q000473:pathology; D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D003537:Cystadenoma / Q000453:epidemiology* / Q000473:pathology; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007234:Infant, Premature; D009367:Neoplasm Staging; D009657:North Carolina / Q000453:epidemiology; D010048:Ovarian Cysts / Q000453:epidemiology* / Q000473:pathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000453:epidemiology* / Q000473:pathology; D012189:Retrospective Studies; D013724:Teratoma / Q000453:epidemiology* / Q000473:pathology