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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 05

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Ginecol Obstet Mex 2018; 86 (05)

Laparoscopic management of adnexal masses in pregnancy: Report of two cases

Calle-G G, Clavijo-R JM, de los Ríos PJF, Salazar S, López-Ruiz CC

Language: Spanish
References: 44
Page: 335-341
PDF size: 340.30 Kb.


ABSTRACT

Background: Ovarian masses detected during pregnancy tend to spontaneously disappear. It is almost always functional cysts, follicular, corpora lutea and tecaluteinic cysts.
Clinical case: Two cases of patients in the second trimester of pregnancy were reported in whom the diagnosis of adnexal masses was established in the ultrasound of the first trimester, with an increase in size and pain.
Conclusions: The risk of malignancy in patients with adnexal masses is very low and surgical treatment is determined by symptoms of pain or rapid growth. In these patients, laparoscopic access is feasible and should be considered a safe alternative.


REFERENCES

  1. Han SN, Verheecke M, Vandenbroucke T, Gziri MM, Van Calsteren K, Amant F. Management of gynecological cancers during pregnancy. Curr Oncol Rep. 2014 Dec;16(12):415.

  2. Amant, F., Brepoels, L., Halaska, M., Gziri, M. and Van Calsteren, K. (2010). Gynaecologic cancer complicating pregnancy: An overview. Best Pract Res Clin Obstet Gynaecol. 2010;24(1):61-79.

  3. Bunyavejchevin S, Phupong V. Laparoscopic surgery for presumed benign ovarian tumor during pregnancy. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD005459. DOI: 10.1002/14651858.CD005459.pub2.

  4. Giuntoli RL, Vang RS, Bristow RE. Evaluation and Management of Adnexal Masses During Pregnancy. Clinical Obstetrics and Gynecology. 2006; 49(3): 492–505.

  5. Bignardi T, Condous G. The management of ovarian pathology in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2009;23(4):539-48.

  6. Walid MS, Boddy MG. Bilateral dermoid cysts of the ovary in a pregnant woman: case report and review of the literature. Arch Gynecol Obstet. 2009; 279: 105–108.

  7. Kolluru V, Gurumurthy R, Vellanki V, Gururaj D. Torsion of ovarian cyst during pregnancy: a case report. Cases Journal. 2009; 2: 9405. https://doi.org/10.1186/1757-1626-2-9405.

  8. Yen CF, Lin SL, Murk W, Wang CJ, Lee CL, Soong YK, and Arici A. Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertil Steril. 2009; 91(5): 1895-1902.

  9. Sherard GB, Hodson CA, Williams HJ, Semer DA, Hadi HA, Tait DL. Adnexal masses and pregnancy: A 12-year experience. Am J Obstet Gynecol. 2003;189:358-63

  10. Leiserowitz GS, Xing G, Cress R, Brahmbhatt B, Dalrymple JL, Smith LH. Adnexal masses in pregnancy: How often are they malignant? Gynecologic Oncology. 2006; 101: 315 – 321

  11. Ko ML, Lai TH, Chen SC. Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy. Fertility and Sterility. 2009; 92(1): 283-287.

  12. Caspi B, Levi R, Appelman Z, Rabinerson D, Goldman G, Hagay Z. Conservative management of ovarian cystic teratoma during pregnancy and labor. Am J Obstet Gynecol. 2000; 182(3):503– 505.

  13. Hamilton CA, Kost E, Ellison MC. Teratoma, cystic. [monograph on the Internet] New York, eMedicine. Last updates Jun 30, 2006. Cited April 1 2008

  14. Bernhard LM, Klebba PK, Gray DL. Predictors of persistence of adnexal masses in pregnancy. Obstet Gynecol. 1999 Apr; 93: 585–589.

  15. Zanetta G, Mariani E, Lissoni A, Ceruti P, Trio D, et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. BJOG. 2003 Jun;110(6): 578-83.

  16. Condous G, Khalid A, Okaro E, Bourne T. Should we be examining the ovaries in pregnancy? Prevalence and natural history of adnexal pathology detected at firsttrimester sonography. Ultrasound Obstet Gynecol. 2004 Jul;24(1):62-6.

  17. Knudsen UB, Tabor A, Mosgaard B, Andersen ES, et al. Management of ovarian cysts. Acta Obstet Gynecol Scand. 2004 Nov;83:1012-21.

  18. Ngu SF, Cheung VY, Pun TC. Surgical management of adnexal masses in pregnancy. JSLS 2014 Jan-Mar;18(1):71-5.

  19. Parker WH, Childers JM, Canis M, Phillips DR, Topel H. Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol 1996 May;174(5):1499-501.

  20. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol 2003 Jun 10;108(2):217-22.

  21. Hess LW, Peaceman A, O’Brien WF, Winkel CA, Cruikshank DP, Morrison JC. Adnexal mass occurring with intrauterine pregnancy: report of fifty-four patients requiring laparotomy for definitive management. Am J Obstet Gynecol. 1988 May; 158(5):1029-34.

  22. Weiner E, Mizrachi Y, Keidar R, Kerner R, Golan A, Sagiv R. Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy. Arch Gynecol Obstet. 2015 Nov;292(5):1063-8.

  23. Han SN, Verheecke M, Vandenbroucke T, Gziri MM, Van Calsteren K, Amant F. Management of gynecological cancers during pregnancy. Curr Oncol Rep. 2014 Dec;16(12):415.

  24. Amant, F., Brepoels, L., Halaska, M., Gziri, M. and Van Calsteren, K. (2010). Gynaecologic cancer complicating pregnancy: An overview. Best Pract Res Clin Obstet Gynaecol. 2010;24(1):61-79.

  25. Bunyavejchevin S, Phupong V. Laparoscopic surgery for presumed benign ovarian tumor during pregnancy. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD005459. DOI: 10.1002/14651858.CD005459.pub2.

  26. Giuntoli RL, Vang RS, Bristow RE. Evaluation and Management of Adnexal Masses During Pregnancy. Clinical Obstetrics and Gynecology. 2006; 49(3): 492–505.

  27. Bignardi T, Condous G. The management of ovarian pathology in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2009;23(4):539-48.

  28. Walid MS, Boddy MG. Bilateral dermoid cysts of the ovary in a pregnant woman: case report and review of the literature. Arch Gynecol Obstet. 2009; 279: 105–108.

  29. Kolluru V, Gurumurthy R, Vellanki V, Gururaj D. Torsion of ovarian cyst during pregnancy: a case report. Cases Journal. 2009; 2: 9405. https://doi.org/10.1186/1757-1626-2-9405.

  30. Yen CF, Lin SL, Murk W, Wang CJ, Lee CL, Soong YK, and Arici A. Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertil Steril. 2009; 91(5): 1895-1902.

  31. Sherard GB, Hodson CA, Williams HJ, Semer DA, Hadi HA, Tait DL. Adnexal masses and pregnancy: A 12-year experience. Am J Obstet Gynecol. 2003;189:358-63

  32. Leiserowitz GS, Xing G, Cress R, Brahmbhatt B, Dalrymple JL, Smith LH. Adnexal masses in pregnancy: How often are they malignant? Gynecologic Oncology. 2006; 101: 315 – 321

  33. Ko ML, Lai TH, Chen SC. Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy. Fertility and Sterility. 2009; 92(1): 283-287.

  34. Caspi B, Levi R, Appelman Z, Rabinerson D, Goldman G, Hagay Z. Conservative management of ovarian cystic teratoma during pregnancy and labor. Am J Obstet Gynecol. 2000; 182(3):503– 505.

  35. Hamilton CA, Kost E, Ellison MC. Teratoma, cystic. [monograph on the Internet] New York, eMedicine. Last updates Jun 30, 2006. Cited April 1 2008

  36. Bernhard LM, Klebba PK, Gray DL. Predictors of persistence of adnexal masses in pregnancy. Obstet Gynecol. 1999 Apr; 93: 585–589.

  37. Zanetta G, Mariani E, Lissoni A, Ceruti P, Trio D, et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. BJOG. 2003 Jun;110(6): 578-83.

  38. Condous G, Khalid A, Okaro E, Bourne T. Should we be examining the ovaries in pregnancy? Prevalence and natural history of adnexal pathology detected at firsttrimester sonography. Ultrasound Obstet Gynecol. 2004 Jul;24(1):62-6.

  39. Knudsen UB, Tabor A, Mosgaard B, Andersen ES, et al. Management of ovarian cysts. Acta Obstet Gynecol Scand. 2004 Nov;83:1012-21.

  40. Ngu SF, Cheung VY, Pun TC. Surgical management of adnexal masses in pregnancy. JSLS 2014 Jan-Mar;18(1):71-5.

  41. Parker WH, Childers JM, Canis M, Phillips DR, Topel H. Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol 1996 May;174(5):1499-501.

  42. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol 2003 Jun 10;108(2):217-22.

  43. Hess LW, Peaceman A, O’Brien WF, Winkel CA, Cruikshank DP, Morrison JC. Adnexal mass occurring with intrauterine pregnancy: report of fifty-four patients requiring laparotomy for definitive management. Am J Obstet Gynecol. 1988 May; 158(5):1029-34.

  44. Weiner E, Mizrachi Y, Keidar R, Kerner R, Golan A, Sagiv R. Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy. Arch Gynecol Obstet. 2015 Nov;292(5):1063-8.




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