US Technique. ACOG Committee on Obstetric Practice. With the advent of routine obstetrical ultrasound, the diagnosis of an adnexal mass in pregnancy has become increasingly common. Whitecar P, Turner S, Higby K. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. • Most benign masses either resolve spontaneously or can be managed conservatively during pregnancy. Masses due to ectopic pregnancy and adnexal torsion are beyond the scope of our discussion. › Transvaginal sonographic ovarian findings in a random sample of women 25-40 years old. Hong Kong J Gynaecol Obstet Midwifery 2010; 10:69-74. Adnexal masses in pregnancy have a wide spectrum of imaging characteristics and clinical manifestations. Ectopic pregnancy is the first concern when an adnexal mass is discovered in a pregnant patient .4 If found, ectopic pregnancy should be managed with appropriate pharmacologic or … To avoid complications, it is ideal to discover an adnexal mass and treat it before a woman gets pregnant. Obstet Gynecol. Most benign masses either resolve spontaneously or can be managed conservatively during pregnancy. 4. Alalade AO, Maraj H. Management of adnexal masses in pregnancy. Sonography is important in diag-nosing, monitoring, and determining the malignant potential of these masses. They are often discovered incidentally during routine ultrasound examinations. Although most adnexal masses are benign, the main goal of the diagnostic evaluation is to exclude malignancy. Adnexal masses are usually asymptomatic, but sometimes can be responsible for abdominal or pelvic pain. Only 11 (25%) cases were managed conservatively. 543 INTRODUCTION As seems likely to be the case in most branches of medicine, the advent of modem technology in obstetrical care has led to both important advances and new dilemmas. Adnexal mass in pregnancy. Ultrasound Obstet Gynecol 1999 May;13(5):345-50. 2006 Sep;49[3]:492-505). Revised and accepted on November 24th, 1998. Only masses associated with live fetuses, for which pathologic follow-up or direct visualization of the ovary was available at a single hospital, were included in the study. 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. Ultrasound Q 2008; 24:225–240. Of the remaining 102 masses larger than 5 cm, 70 (69%) resolved spontaneously. Although the reported incidence and expected clinical course varies based on the gestational age at the time of diagnosis and the criteria used to define an adnexal mass, … Adnexal masses in pregnancy Clin Obstet Gynecol. Cases of adnexal masses in pregnancy were chosen to illustrate the appearance on ultra-sonography and magnetic resonance imaging. With the increased use and quality of ultrasound in pregnancy, adnexal masses are being encountered with greater frequency.Fortunately, the vast majority of such masses are benign and resolve on their own. Thirty-one cases underwent exploratory laparotomy and two were managed laparoscopically. Introduction • Adnexal masses in pregnancy are common, with a prevalence of 0.19–8.8%. While transabdominal US is helpful for larger masses or those located superiorly or laterally in the pelvis, transvaginal US provides optimal visualization of most adnexal diseases. Alt Alt It seems to us that you have your JavaScript disabled on your browser. Adnexal masses in Pregnancy. The majority of adnexal masses identified in pregnancy are benign simple cysts measuring less than 5 cm in diameter. Approximately 1–4% of pregnant women are diagnosed with an adnexal mass. The purpose … Our data support a randomized clinical study to determine optimal management of an adnexal … Tumor size, site, and the trimester of mass detection are all crucial in management. Outcomes of asymptomatic adnexal masses in pregnancy. Management decisions often are influenced by the age and family history of the patient. 2005;105:1098-1103. The liberal use of prenatal ultrasound for evaluation of the fetus has also resulted in increased detection of asymptomatic adnexal masses during pregnancy. DOI: 10.1111/tog.12417. Results: The incidence of adnexal masses in pregnancy was 0.2% in this study with dermoid and mucinous cyst adenoma being the most common histological types. Complications of persistent adnexal masses in pregnancy include torsion, rupture, and labor obstruction. Adnexal masses in pregnancy are mostly asymptomatic, being diagnosed as ultrasound or surgical findings. The University of Lahore, Pakistan. Adnexal Cyst and Mass in Pregnancy. Less commonly, a mass may present with symptoms of acute or intermittent pain. Most adnexal masses identified in pregnancy are benign and resolve spontaneously. Clinical Presentation. Received on October 15th, 1998. The management of such lesions has been a subject of debate for years with no consensus regarding the best management plan. An adnexal mass occurring during pregnancy can be managed expectantly because the risk of malignancy is low. The incidence of an adnexal mass during pregnancy in our population was consistent with what has been reported in the literature. The risk is highest for masses 6-8 cm in size and from 10-16 weeks gestation, as the uterus undergoes rapid growth. 1999;181:19-24. Am J Obstet Gynecol. ?Hormonally progressive 2) Non-Functional Cysts-Non hormonally progressive. Am J Obstet Gynecol. 31. Tumor markers that can be used in nonpregnant patients may already be … Adnexal masses are not common in pregnancy. Adnexal Mass in Pregnancy Karen Y. Oh, MD DIFFERENTIAL DIAGNOSIS Common Corpus Luteum Cyst Teratoma Theca Lutein Cysts Less Common Other Ovarian Masses Endometrioma Cystadenoma Epithelial Ovarian Carcinoma Sex-Cord Stromal Tumor Non-Ovarian Adnexal Masses Paraovarian Cyst Pedunculated Fibroid Ectopic Pregnancy Hydrosalpinx Abscess ESSENTIAL INFORMATION Key … Adnexal masses in pregnancy: surgery compared with observation. KEY WORDS Adnexal mass, pregnancy, ultrasound, ovarian cancer. A diagnostic and management challenge main goal of the diagnostic evaluation is to exclude malignancy is... Words adnexal mass on medical imaging and clinical adnexal mass in pregnancy ppt characteristics of the uterus, ovaries, determining! 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