Journal article

Ovarian cysts in pregnancy: a narrative review

Sachintha Senarath, Alex Ades, Pavitra Nanayakkara

JOURNAL OF OBSTETRICS AND GYNAECOLOGY | TAYLOR & FRANCIS INC | Published : 2020

Abstract

Most adnexal masses are benign, incidental findings of pregnancy which resolve spontaneously. They may present clinically due to haemorrhage, rupture, torsion and mass effect. Aetiological classification includes ovarian benign, ovarian malignant, non-ovarian, gynaecological, non-ovarian non-gynaecological and an additional subset of pathologies unique to pregnancy. Ultrasound is the first-line imaging modality for the evaluation of adnexal masses. This may be supplemented with magnetic resonance imaging. Tumour markers support evaluation of malignant potential, but interpretation of results in pregnancy is challenging. Surgical intervention requires consideration of gestation, lesion charac..

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