Adnexal Mass during Pregnancy: A Review

Webb, Kathryn E.; Sakhel, Khaled; Chauhan, Suneet P.; Abuhamad, Alfred

doi:10.1055/s-0035-1549216

Cited by 52 publications

(47 citation statements)

References 27 publications

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“…In early-stage tumors, a pelvic lymphadenectomy is a standard staging procedure, which is feasible during pregnancy until the 22nd week. The choice of laparoscopic or laparotomic approach is based on local expertise; however laparoscopy, if performed in less than 90 min, was found to cause less complications and preterm contractions [25]. Regarding the surgical procedure on the cervix, a simple trachelectomy is preferred to a radical trachelectomy, which has a high rate of obstetrical and surgical complications [26•].…”

Section: Gynecological Cancersmentioning

confidence: 99%

Pregnancy and Cancer: the INCIP Project

et al. 2020

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Purpose of Review Cancer diagnosis in young pregnant women challenges oncological decision-making. The International Network on Cancer, Infertility and Pregnancy (INCIP) aims to build on clinical recommendations based on worldwide collaborative research. Recent Findings A pregnancy may complicate diagnostic and therapeutic oncological options, as the unborn child must be protected from potentially hazardous exposures. Pregnant patients should as much as possible be treated as non-pregnant patients, in order to preserve maternal prognosis. Some approaches need adaptations when compared with standard treatment for fetal reasons. Depending on the gestational age, surgery, radiotherapy, and chemotherapy are possible during pregnancy. A multidisciplinary approach is the best guarantee for experience-driven decisions. A setting with a high-risk obstetrical unit is strongly advised to safeguard fetal growth and health. Research wise, the INCIP invests in clinical follow-up of children, as cardiac function, neurodevelopment, cancer occurrence, and fertility theoretically may be affected. Furthermore, parental psychological coping strategies, (epi)genetic alterations, and pathophysiological placental changes secondary to cancer (treatment) are topics of ongoing research. Summary Further international research is needed to provide patients diagnosed with cancer during pregnancy with the best individualized management plan to optimize obstetrical and oncological care.

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Section: Gynecological Cancersmentioning

confidence: 99%

Pregnancy and Cancer: the INCIP Project

et al. 2020

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“…1 About 48 % could be classified as simple, while the remaining 52 % could be classified as complex masses. 2 One percent of the simple masses are thought to be malignant, while 9 % of the complex masses are regarded malignant. 2 Resolution rate is generally thought to be high, and even complex large cysts more than 5 cm size would regress in 69 % of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…2 One percent of the simple masses are thought to be malignant, while 9 % of the complex masses are regarded malignant. 2 Resolution rate is generally thought to be high, and even complex large cysts more than 5 cm size would regress in 69 % of the cases. 2,3 It is essential to accurately evaluate the masses as for its possibilities of malignancy, rupture, torsion, and labor obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…2 Resolution rate is generally thought to be high, and even complex large cysts more than 5 cm size would regress in 69 % of the cases. 2,3 It is essential to accurately evaluate the masses as for its possibilities of malignancy, rupture, torsion, and labor obstruction. 2 Especially, enlarging ovarian masses can be confused with malignant diseases.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 It is essential to accurately evaluate the masses as for its possibilities of malignancy, rupture, torsion, and labor obstruction. 2 Especially, enlarging ovarian masses can be confused with malignant diseases. 4 Metastatic tumors are not rare, and a delay in diagnosis may lead to poor maternal prognosis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Differential diagnosis of bilateral ovarian masses during pregnancy, and their hormonal effect

Masuda

Matsuzaki

Takiuchi

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Rapidly enlarging bilateral ovarian cystic masses can be confused with malignant entities. When this happens during pregnancy, benign transient reactivity can present a similar clinical course. Here we describe a 33-year-old woman with hyperreactio luteinalis or multiple gestational theca lutein cysts whose ovaries drastically changed in size peripartum, with concordant changes in human chorionic gonadotropin, thyroid function, and testosterone levels. Management was conservative and the cystic masses spontaneously remitted postpartum. Present work suggested that evaluating the character of the cysts by magnetic resonance imaging and serial assessments of their size and the patient’s hormonal levels may assist in diagnosis. Conservative management could be successfully applied in a carefully chosen subset of patients to avoid unnecessary invasive procedures.

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