作者
Paula C Brady, Lynn L Simpson, Sharyn N Lewin, Dorothy Smok, Jodi P Lerner, Mary E D'Alton, Thomas J Herzog, Jason D Wright
发表日期
2013
期刊
The Journal of reproductive medicine
卷号
58
期号
9-10
页码范围
377-382
简介
Objective
To determine the clinical outcomes and risk factors for persistence of ovarian cysts in pregnant women. With the increased use of ultrasound in pregnancy, the identification of incidental ovarian masses is becoming more common.
Study design
An observational study of women with ovarian masses identified before 24 weeks of pregnancy was performed. Only women who underwent follow-up imaging or surgery were included. Factors associated with persistence and outcomes of women who underwent surgery were analyzed.
Results
Of the 803 women with available follow-up, the cysts resolved in 707 (88.1%) patients. Fifty (6.2%) women underwent surgical intervention. Women with persistent cysts were younger, more often Hispanic, detected at a later gestational age, had larger cysts, and more often had complex or solid components (p< 0.05 for all). Overall, 1 (0.1%) malignancy was diagnosed (a patient with a B-cell lymphoma), while 3 (0.4%) women had borderline epithelial ovarian tumors.
Conclusion
Ovarian masses identified during pregnancy have a low risk of malignancy. The majority of women can be serially monitored without intervention.
学术搜索中的文章
PC Brady, LL Simpson, SN Lewin, D Smok, JP Lerner… - The Journal of Reproductive Medicine, 2013