Aspiration of Simple Pelvic Cysts during Pregnancy

Caspi, B.; Ben-Arie, Alon; Appelman, Zvi; Or, Yuval; Hagay, Zion

doi:10.1159/000010224

Cited by 27 publications

(21 citation statements)

References 18 publications

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“…Spontaneously resolved cases after delivery have been reported 15. As a non-surgical method, the drainage of simple cysts was performed successfully, and the authors confirmed the safety of the procedure 15 16…”

Section: Discussionmentioning

confidence: 78%

Surgical intervention for adnexal masses during pregnancy

et al. 2013

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SUMMARYWe aimed to evaluate the influence of surgical intervention on gestational and neonatal outcomes in women who underwent elective surgery in the second trimester of gestation because of an adnexal mass. We retrospectively reviewed the hospital records of women who underwent elective surgery for adnexal masses in the second trimester of gestation between 2006 and 2012. The ages of the women ranged between 17 and 33 years. Eight women underwent a laparotomy, and one woman, who aborted on the day of the operation, underwent a laparoscopy. Dermoid cysts, cystadenoma and borderline ovarian tumours were present in four, two and two of the women, respectively. Eight women had no complications after surgery and delivered healthy newborns at term. We concluded that elective surgery on an adnexal mass in the second trimester of gestation is safe for both the mother and the fetus.

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Section: Discussionmentioning

confidence: 78%

Surgical intervention for adnexal masses during pregnancy

et al. 2013

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“…Several authors advocate the ultrasound-guided aspiration of ovarian cysts, provided they strictly fulfill the criteria of benign cysts, including unilocular simple cyst, absence of papillary structures and/or the absence of any indicators for solid masses [15][16][17]. Recently, Whitecar et al demonstrated that adnexal masses considered to be benign on ultrasonographic imaging can be of low malignant potential after histopathological examination [1].…”

Section: Surgery For Adnexal Massesmentioning

confidence: 99%

Adnexal Masses in Pregnancy

et al. 2003

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With the widespread use of routine abdominal ultrasound examination during pregnancy, adnexal masses are observed with increasing frequency. Most patients are clinically asymptomatic at the time of presentation, and most of the adnexal masses detected during early pregnancy disappear during the first 16 weeks of pregnancy. Ovarian tumors are estimated to occur in about 1 in 1,000 pregnancies and of these 3% are malignant. Here we present an overview about frequency, diagnostic procedures and pathological characteristics of these ovarian tumors. Moreover, current modalities for treatment during pregnancy are summarized. Surgical treatment of the adnexal masses has to be performed with adequate staging and debulking equal to the treatment of non-pregnant women. However, whereas during organogenesis abortion has to be considered prior to chemotherapy, later in pregnancy surgical debulking as complete as possible, followed by taxol-platinum chemotherapy is indicated. If the fetus is not viable at the time of primary surgery, neoadjuvant chemotherapy and complementation of surgery after delivery of the baby should be performed. It should be stressed that chemotherapy for ovarian cancer applied during pregnancy appears to be safe. However, no studies have evaluated the long-term consequences for children exposed to intra-uterine chemotherapy. Aspiration of cysts should be avoided, as the correlation between the histological evaluation of an ovarian malignancy and the cytological evaluation of aspirates is poor. Moreover, spillage of malignant cysts is hazardous for the patient.

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“…In a series of 10 cases of fine needle aspiration of simple cysts in pregnancy, 5 resolved and there were no complications. 53 However, similar rates of simple cyst resolution have been observed in cases managed expectantly. Although cyst drainage is associated with a risk of infection, hemorrhage, and preterm labor, it may be appropriate in cases of suspected pelvic obstruction or mild symptoms.…”

Section: Surgical Managementmentioning

confidence: 64%

Adnexal Masses in Pregnancy: Diagnosis and Management

Graham¹

2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Abstract:The widespread use of ultrasound in obstetrics has led to an increase in the diagnosis of asymptomatic adnexal masses in pregnancy. Ultrasound is an accurate and safe method for diagnosing the etiology of an adnexal mass and distinguishing benign from malignant pathology. The management of an adnexal mass in pregnancy is controversial. Historically, it was recommended that any adnexal mass be removed electively in the second trimester to exclude malignancy and prevent complications such as torsion, rupture, and obstruction of labor. More recent recommendations have limited surgical intervention in pregnancy to symptomatic adnexal masses and those that are highly suggestive of malignancy. Surgery in pregnancy is associated with an increased risk of adverse pregnancy outcomes. However, laparoscopy appears to be a safe alternative to laparotomy for benign masses when performed by experienced surgeons. Key words: Adnexal mass, pregnancy complications, ultrasound Learning objectives• To list the differential diagnoses of adnexal masses in pregnancy • To interpret ultrasound images of adnexal masses and distinguish benign from malignant masses • To describe the management options for adnexal masses in pregnancy, including the indications and options for surgical intervention.

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Aspiration of Simple Pelvic Cysts during Pregnancy

Cited by 27 publications

References 18 publications

Surgical intervention for adnexal masses during pregnancy

Surgical intervention for adnexal masses during pregnancy

Adnexal Masses in Pregnancy

Adnexal Masses in Pregnancy: Diagnosis and Management

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