A. M. ERGENOĞLU, A. Ö. YENİEL, T. MERMER

Adnexal masses in pregnancy: Clinical approach and pathological findings

Amaç: Çalışmamızda 2004-2009 yılları arasında kliniğimizde takip edilen 25 adneksiyal kitleli gebelik olgularına klinik ve histopatolojik yaklaşımlarımız değerlendirildi. Yöntem ve Gereç: Sunulan çalışmamızda güncel literatür eşliğinde tedavi seçenekleri tartışıldı. Çalışmaya alınan hastalar 5cm ya da daha büyük çapta adneksiyal kitleleri olan gebelerdi. Olgular gebelik sonuçları, komplikasyonlar ve cerrahi patolojiler açsından araştırıldı. Bulgular: Adneksiyal kitlelerin insidansı tüm doğumlarda % 0,3 (25/7512) olarak bulundu. Torsiyon yada rüptür adneksiyal kitlelerin %4 ünde (1/25) görüldü. İki olgu ilk trimesterde tanı aldı ve 20cm çapında olduğu için ikinci trimesterde opere edildi. Yalnızca bir hastada malign histopatoloji saptandı ve bu olgudaki histopatolojik tanı seröz papiller adenokarsinom idi. Sonuç: Çalışmamızda gebelikte adneksiyal kitleler ve bunlara bağlı gelişen operatif süreçlerin gebelik sonuçlarını kötü yönde etkilemediğini saptadık.

Gebelikte adneksiyal kitleler: Klinik yaklaşım ve patolojik bulgular

Aim: We evaluated histopathological findings and clinical approach of 25 pregnancy associated adnexal masses who were seen between years 2004 and 2009 at our department in this study. Material and Methods: Furthermore, we tried to discuss management choices for his situation regarding recent literature. During this period, Pregnant patients operated with an adnexal mass 5cm or greater in diameter was included and pregnancy outcome, complications and surgical pathology were investigated. Results: The incidence of an adnexal mass in all deliveries was 0.3%(25/7512) of deliveries. Torsion or rupture of the adnexal mass was occured 4% (1/25) of the cases. Two patient were diagnosed during the first trimester and they were operated in the second trimester because of adnexal masses diameters were 20cm. A malignant tumor was found only one patients and histopathological type was serous papillary adenocarcinoma. Conclusion: We have not seen reverse pregnancy outcome regarding adnexal mass and operative procedure.

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