Adnexal masses detected during pregnancy: A tertiary center experience

Objective: We aimed to evaluate adnexal masses in pregnant women who were referred to the gynecologic oncology department. Material and Methods: Data of the pregnant women referred to the gynecological oncology department between November 2016 and June 2019 with suspicion of adnexal malignancy were...

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Main Authors: Esra Keles, Burak Giray, Uğur Kemal Öztürk, Serkan Akış, Şefik Özyürek, Canan Kabaca, Murat Api
Format: Article
Language:English
Published: Sakarya University 2021-12-01
Series:Sakarya Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1525067
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author Esra Keles
Burak Giray
Uğur Kemal Öztürk
Serkan Akış
Şefik Özyürek
Canan Kabaca
Murat Api
author_facet Esra Keles
Burak Giray
Uğur Kemal Öztürk
Serkan Akış
Şefik Özyürek
Canan Kabaca
Murat Api
author_sort Esra Keles
collection DOAJ
description Objective: We aimed to evaluate adnexal masses in pregnant women who were referred to the gynecologic oncology department. Material and Methods: Data of the pregnant women referred to the gynecological oncology department between November 2016 and June 2019 with suspicion of adnexal malignancy were retrieved through the hospital's electronic medical records that included patients' demographic characteristics, gestational age, ultrasonographic, and magnetic resonance imaging findings, serum tumor markers, histopathological results. Patients with a spontaneously regressed adnexal mass, benign adnexal masses, and concurrent ectopic pregnancy were excluded. Results: The mean age of the patients was 30.9±0.87 years. The mean gestational age at diagnosis was 14.05±1.36 weeks and the mean gestational age at delivery was 35.9±1.23 weeks. The mean gestational age at diagnosis was 14.05±1.36 weeks. Twenty-five patients (59.5%) underwent laparotomy while 18 patients (40.5%) managed conservatively. The histopathological results were mucinous cystadenoma in 8 (32%) patients, mature cystic teratoma in 6 (24%) patients, borderline mucinous cystadenoma in 3 (12%) patients, borderline serous cystadenoma in 2 (8%) patients, serous cystadenoma in 2 (8%) patients, Brenner’s tumor in 2 (8%) patients, theca lutein cysts in 1 (4%) patient, and fibroma in 1 (4%) patient. None of the patients has malignant neoplasm. Conclusion: Adnexal masses at pregnancy should be referred gynecologic oncology department after the 17th week of gestation.
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spelling doaj.art-05dee8d5c3e84703b44a97f72e53b9402024-01-21T07:40:15ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2021-12-0111475175610.31832/smj.86597528Adnexal masses detected during pregnancy: A tertiary center experienceEsra Keles0Burak Giray1Uğur Kemal Öztürk2Serkan Akış3Şefik Özyürek4Canan Kabaca5Murat Api6İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSİSTANBUL SANCAKTEPE ŞEHİT PROF.DR.İLHAN VARANK EĞİTİM VE ARAŞTIRMA HASTANESİİSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSİSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSİSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSİSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSİSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICSObjective: We aimed to evaluate adnexal masses in pregnant women who were referred to the gynecologic oncology department. Material and Methods: Data of the pregnant women referred to the gynecological oncology department between November 2016 and June 2019 with suspicion of adnexal malignancy were retrieved through the hospital's electronic medical records that included patients' demographic characteristics, gestational age, ultrasonographic, and magnetic resonance imaging findings, serum tumor markers, histopathological results. Patients with a spontaneously regressed adnexal mass, benign adnexal masses, and concurrent ectopic pregnancy were excluded. Results: The mean age of the patients was 30.9±0.87 years. The mean gestational age at diagnosis was 14.05±1.36 weeks and the mean gestational age at delivery was 35.9±1.23 weeks. The mean gestational age at diagnosis was 14.05±1.36 weeks. Twenty-five patients (59.5%) underwent laparotomy while 18 patients (40.5%) managed conservatively. The histopathological results were mucinous cystadenoma in 8 (32%) patients, mature cystic teratoma in 6 (24%) patients, borderline mucinous cystadenoma in 3 (12%) patients, borderline serous cystadenoma in 2 (8%) patients, serous cystadenoma in 2 (8%) patients, Brenner’s tumor in 2 (8%) patients, theca lutein cysts in 1 (4%) patient, and fibroma in 1 (4%) patient. None of the patients has malignant neoplasm. Conclusion: Adnexal masses at pregnancy should be referred gynecologic oncology department after the 17th week of gestation.https://dergipark.org.tr/tr/download/article-file/1525067teratomgebelikborderline over tümörüadneksial kitleadnexal massborderline ovarian tumorpregnancyteratoma
spellingShingle Esra Keles
Burak Giray
Uğur Kemal Öztürk
Serkan Akış
Şefik Özyürek
Canan Kabaca
Murat Api
Adnexal masses detected during pregnancy: A tertiary center experience
Sakarya Tıp Dergisi
teratom
gebelik
borderline over tümörü
adneksial kitle
adnexal mass
borderline ovarian tumor
pregnancy
teratoma
title Adnexal masses detected during pregnancy: A tertiary center experience
title_full Adnexal masses detected during pregnancy: A tertiary center experience
title_fullStr Adnexal masses detected during pregnancy: A tertiary center experience
title_full_unstemmed Adnexal masses detected during pregnancy: A tertiary center experience
title_short Adnexal masses detected during pregnancy: A tertiary center experience
title_sort adnexal masses detected during pregnancy a tertiary center experience
topic teratom
gebelik
borderline over tümörü
adneksial kitle
adnexal mass
borderline ovarian tumor
pregnancy
teratoma
url https://dergipark.org.tr/tr/download/article-file/1525067
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AT burakgiray adnexalmassesdetectedduringpregnancyatertiarycenterexperience
AT ugurkemalozturk adnexalmassesdetectedduringpregnancyatertiarycenterexperience
AT serkanakıs adnexalmassesdetectedduringpregnancyatertiarycenterexperience
AT sefikozyurek adnexalmassesdetectedduringpregnancyatertiarycenterexperience
AT canankabaca adnexalmassesdetectedduringpregnancyatertiarycenterexperience
AT muratapi adnexalmassesdetectedduringpregnancyatertiarycenterexperience