Öz
Amaç: Jinekolojik onkoloji bölümüne sevk edilen adneksiyal kitlesi olan gebeleri değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Jinekolojik onkoloji bölümüne Kasım 2016 ve Haziran 2019 tarihleri arasında sevk edilen şüpheli adneksial kitlesi olan gebelerin demografik özelliklerini, gebelik yaşını, ultrasonografik ve manyetik rezonans görüntüleme bulgularını, tümör markerlarını ve histopatolojik sonuçlarını içeren verileri hastane veri tabanı kullanılarak toplandı. Spontan regrese olan kitleler, benign adneksial kitleler ve eş zamanlı ektopik gebeliği olan hastalar çalışma dışı bırakıldı.
Bulgular: Hastaların ortalama yaşı 30,9 ± 0,87 idi. Tanı anında ortalama gebelik haftası 14,05 ± 1,36 hafta ve doğumdaki ortalama gebelik haftası 35,9 ± 1,23 hafta idi. Tanı anında ortalama gebelik haftası 14,05 ± 1,36 hafta idi. Yirmi beş hastaya (%59,5) laparotomi yapılırken, 18 hastaya (%40,5) konservatif tedavi uygulandı. Histopatolojik sonuçlar 8 (%32) hastada müsinöz kistadenom, 6 (%24) hastada matür kistik teratom, 3 (%12) hastada borderline müsinöz kistadenom, 2 (%8) hastada borderline seröz kistadenom, 2 (%8) hastada seröz kistadenom, 2 (%8) hastada Brenner tümörü, 1 (%4) hastada teka lutein kisti, 1 (%4) hastada ise fibroma idi. Hastaların hiçbirinde malign adneksial kitleye rastlanmadı.
Sonuç: Gebelikteki adneksiyal kitleler 17. gebelik haftasından sonra jinekolojik onkoloji bölümüne sevk edilmelidir.
Anahtar Kelimeler
Kaynakça
- 1. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: A literature review. Eur J Obstet Gynecol Reprod Biol 2011;155:119–24.
- 2. Whitecar MAP, Turner S, Higby MK. Adnexial masses in pregnancy: A review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999;181(1):19-24.
- 3. Bernhard LM, Klebba PK, Gray DL, Mutch DG. Predictors of persistence of adnexal masses in pregnancy. Obstet Gynecol 1999;93:585–9.
- 4. Yacobozzi M, Nguyen D, Rakita D. Adnexal masses in pregnancy. Semin Ultrasound CT MR 2012;33:55–64.
- 5. Ueda M, Ueki M. Ovarian tumors associated with pregnancy. Int J Gynaecol Obstet 1996;55:59–65.
- 6. Kwon YS, Mok JE, Lim KT, Lee IH, Kim TJ, Lee KH, et al. Ovarian cancer during pregnancy: clinical and pregnancy outcome. J Korean Med Sci 2010; 25(2):230-234.
- 7. Balci O, Gezginc K, Karatayli R, Acar A, Celik C, Colakoglu MC. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34(4):524–8.
- 8. Boussios S, Moschetta M, Tatsi K, Tsiouris AK, Pavlidis N. A review on pregnancy complicated by ovarian epithelial and non‐epithelial malignant tumors: diagnostic and therapeutic perspectives. J Adv Res 2018; 12:1‐9.
- 9. Thornton JG, Wells M. Ovarian cysts in pregnancy: does ultrasound make traditional management inappropriate? Obstet Gynecol 1987;69:717–21.
- 10. Platek DN, Henderson CE, Goldberg GL. The management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995;173:1236–40.
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: A literature review. Eur J Obstet Gynecol Reprod Biol 2011;155:119–24.
- 2. Whitecar MAP, Turner S, Higby MK. Adnexial masses in pregnancy: A review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999;181(1):19-24.
- 3. Bernhard LM, Klebba PK, Gray DL, Mutch DG. Predictors of persistence of adnexal masses in pregnancy. Obstet Gynecol 1999;93:585–9.
- 4. Yacobozzi M, Nguyen D, Rakita D. Adnexal masses in pregnancy. Semin Ultrasound CT MR 2012;33:55–64.
- 5. Ueda M, Ueki M. Ovarian tumors associated with pregnancy. Int J Gynaecol Obstet 1996;55:59–65.
- 6. Kwon YS, Mok JE, Lim KT, Lee IH, Kim TJ, Lee KH, et al. Ovarian cancer during pregnancy: clinical and pregnancy outcome. J Korean Med Sci 2010; 25(2):230-234.
- 7. Balci O, Gezginc K, Karatayli R, Acar A, Celik C, Colakoglu MC. Management and outcomes of adnexal masses during pregnancy: a 6-year experience. J Obstet Gynaecol Res 2008; 34(4):524–8.
- 8. Boussios S, Moschetta M, Tatsi K, Tsiouris AK, Pavlidis N. A review on pregnancy complicated by ovarian epithelial and non‐epithelial malignant tumors: diagnostic and therapeutic perspectives. J Adv Res 2018; 12:1‐9.
- 9. Thornton JG, Wells M. Ovarian cysts in pregnancy: does ultrasound make traditional management inappropriate? Obstet Gynecol 1987;69:717–21.
- 10. Platek DN, Henderson CE, Goldberg GL. The management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995;173:1236–40.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Aralık 2021 |
| Gönderilme Tarihi | 21 Ocak 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 11 Sayı: 4 |
SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır