Tératome immature de l’ovaire en cours de grossesse

Hélage, Siegfried; Borghese, Bruno; Depinay, Caroline; Millischer-Bellaïche, A.-E.; Alexandre, Jérôme; Chopin, Nicolás

doi:10.1016/j.lpm.2010.09.013

Cited by 6 publications

(11 citation statements)

References 11 publications

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“…These tumors are increasingly diagnosed early and incidentally during pregnancy due to the popularization of ultrasound. Pregnancy can lead to a diagnostic delay by an ascension of the tumor which then becomes extra pelvic due to the gravid uterus [4]. In our case there were no diagnostic difficulties.…”

Section: Diagnosismentioning

confidence: 53%

“…Benign ovarian tumor pathology during pregnancy is dominated by dermoid cysts or mature teratoma. According to the authors, the frequency varies between 22% and 50% of benign ovarian tumors during pregnancy [1,4,5]. This tumor most often affects women of child-bearing age [2,6,7].…”

Section: Physiopathologymentioning

confidence: 99%

“…The presence of a cystic ovarian formation with an echogenic nodule hanging from the wall (Rokistanky's nodule) is strongly suggestive of a mature teratoma [6]. Magnetic resonance imaging (MRI) would provide additional information when ultrasound is not relevant enough [1,4,6,11]. Since MRI is not a common practice in our under medicalized context, it was not performed in our case.…”

Section: Diagnosismentioning

confidence: 99%

“…In fact, the growth of mature teratomas of the ovary is slow, ie 1.8 to 2 mm per year outside pregnancy [2,10]. However, hormonal changes induced by pregnancy may be responsible for the rapid increase in the size of dermoid cysts [3,4,14]. In fact, mature teratomas are believed to have estrogen and progesterone receptors [14].…”

Section: Prognosismentioning

confidence: 99%

“…The problem of the management of dermoid cysts associated with pregnancy arises for those over 60 mm. Some more reservist writers recommend abstention [4,15]. Other more interventionist authors recommend laparoscopy until 16-17 WA, beyond an open laparoscopy or a laparotomy seem more indicated [1,12,16,17].…”

Section: Treatmentmentioning

confidence: 99%

See 4 more Smart Citations

Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Eléonore¹,

Effoh²,

Ehui³

et al. 2020

JGO

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As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.

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Section: Diagnosismentioning

confidence: 53%