title: Adnexal masses encountered during cesarean delivery.
abstract: OBJECTIVE
  To outline and discuss the clinical features and outcomes of adnexal masses that were treated during cesarean delivery at a tertiary referral hospital located in Ankara, Turkey.
  
  
  METHODS
  The operating room and pathology department databases for 2007-2012 were retrospectively reviewed for surgically managed adnexal masses during cesarean delivery. Clinicopathologic characteristics and maternal and neonatal outcomes were assessed.
  
  
  RESULTS
  Adnexal masses occurred in 151 women (0.3% of all cesarean deliveries). Most (54.9%) masses were incidentally discovered during cesarean delivery. The mean mass size was 5.3±3.7cm (range, 3-30cm). The majority (96.7%) of the women underwent excision of the mass and ovarian repair. Most masses were benign, with dermoid cysts constituting the most common diagnosis (23.8%). Rare tumors such as thecoma, hyperreactio luteinalis, hemangioma, and benign Brenner tumor were also encountered. Three (2.0%) women were postoperatively diagnosed with ovarian cancer. Preterm delivery and neonatal intensive care unit admission rates were 15.9% and 11.9%, respectively. There were no serious neonatal morbidities and no neonatal mortality.
  
  
  CONCLUSIONS
  Adnexal masses encountered during cesarean delivery generally have a favorable prognosis in terms of maternal and fetal outcome.
authors.affiliation: Department of Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey. Electronic address: eralpbaser@gmail.com.
authors.forename: Eralp
authors.initials: E
authors.lastname: Baser
authors.forename: Selcuk
authors.initials: S
authors.lastname: Erkilinc
authors.forename: Sertac
authors.initials: S
authors.lastname: Esin
authors.forename: Cihan
authors.initials: C
authors.lastname: Togrul
authors.forename: Ebru
authors.initials: E
authors.lastname: Biberoglu
authors.forename: Mujdegul Z
authors.initials: MZ
authors.lastname: Karaca
authors.forename: Tayfun
authors.initials: T
authors.lastname: Gungor
authors.forename: Nuri
authors.initials: N
authors.lastname: Danisman
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D002585:Cesarean Section; D016208:Databases, Factual; D003884:Dermoid Cyst / Q000175:diagnosis / Q000473:pathology; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000473:pathology*; D011256:Pregnancy Outcome; D047928:Premature Birth; D011379:Prognosis; D012189:Retrospective Studies; D014421:Turkey; D055815:Young Adult
keywords: Adnexal mass; Cesarean delivery; Ovarian cancer; Pregnancy