Seyhan SÖNMEZ, Ersen ERAYDIN, Cüneyt Eftal TANER, Ahmet KARATAŞ

Gebelik ve Adneksiyel Kitleler

Amaç: Bu çalışmanın amacı gebelikte görülen adneksiyel kitlelerin değerlendirilmesidir.Gereç ve Yöntem: Sağlık Bakanlığı Ege Doğumevi ve Kadın Hastalıkları Eğitim ve AraştırmaHastanesinde 1 Mart 2005 ile 11 Ağustos 2006 tarihleri arasında doğum yapan 13750 olgudanobstetrik endikasyonlarla veya pelvik kitle nedeniyle sezaryen yapılan ve pelvik kitle tespitedilen hastalar retrospektif olarak incelendi.Bulgular: Oniki olguda adneksiyel kitle (11 ovarian, bir para-ovarian) saptandı. İnsidans tümdoğumlarda %0.21 olarak hesaplandı. Hastaların ortalama yaşı 20.9±1.3 idi. Ortalamaparitesi 1.4±0.3 idi. Sezaryen seksiyo zamanında ortalama gebelik haftası 38.2 ± 0.2 (3740) idi. Tespit edilen kitlelerin çapı 8.9±1.2 cm idi. Olguların tümü asemptomatik idi.Hastaların operasyon sonrası patoloji sonuçları 5 olguda (%41.6) seroz kist, 3 olguda (%25)matür kistik teratom, 2 olguda (%16.6) müsinöz kistadenom, 1 olguda (%8.3) endometriomave 1 olguda (%8.3) para-ovarian kist idi.Sonuç: Gebelikte asemptomatik ve malignite düşünülmeyen adneksiyel kitlelerin terme kadartakip edilebileceği ve sezaryen ile eş zamanlı müdahale edilebileceği akılda tutulmalıdır

Anahtar Kelimeler:

Gebelik, adneksiyel kitleler, sezaryen doğum

Pregnancy and Adnexal Masses

Objective: The aim of this study is the demonstration of adnexal masses detected duringpregnancy.Methods: A retrospective study of adnexal masses detected from 13750 pregnants identified atthe time of cesarean section for obstetric indications or pelvic masses between March 1st 2005and August 11th 2006 at Ege Maternity and Gynecology Training and Research Hospital, Izmir.Results: We detected 12 pregnants with adnexal masses (eleven ovarian, one paraovarian cysts).The incidence was 0.21% in whole labours. The mean age of the patients was 20.9±1.3 years. The mean parity was 1.4±0.3 . Mean gestational age at time of cesareansection was 38.2±0.2 . The diameter of masses were 8.9±1.2 cm . All of thecases were asymptomatic. Postoperative pathology results of the patients were serous ovariancysts in 5 cases (41.6%), dermoid cyst in 3 cases (25%), mucinous cystadenoma in 2 cases(16.6%), endometrioma in 1 case (8.3%) and para-ovarian cyst in 1 case (8.3%).Conclusion: Asymptomatic and noncomplicated ovarian cysts detected durıng pregnancy couldbe followed up to delivery and could be excised simultaneously with cesarean section

Keywords:

Pregnancy, adnexal masses, cesarean delivery,

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