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Am J Perinatol 2015; 32(11): 1010-1016
DOI: 10.1055/s-0035-1549216
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Adnexal Mass during Pregnancy: A Review

Kathryn E. Webb
1   Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia
,
Khaled Sakhel
1   Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia
,
Suneet P. Chauhan
1   Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia
,
Alfred Z. Abuhamad
1   Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia
› Author Affiliations
Further Information

Publication History

30 September 2014

12 February 2015

Publication Date:
22 May 2015 (online)

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Abstract

Objective The purpose of this review was to determine the likelihood of malignancy or complications with ultrasonographic diagnosis of adnexal masses in pregnancy and to evaluate the obstetrical outcomes.

Materials and Methods A review of literature was performed using keywords “adnexal mass and pregnancy” or “ovarian mass and pregnancy.”

Results Out of the 340 abstracts reviewed, 313 were excluded. The incidence of adnexal mass in pregnancy varied from 0.1 to 2.4%, with an average of 0.02%. Regarding the likelihood of malignancy, in seven publications, there were 557 women with 563 adnexal masses. Of these 563 masses, 48% were classified as simple and 52% as complex. Among the simple masses, 1% were malignant. Among the complex masses, 9% were malignant. When comparing laparoscopy and laparotomy, the rate of preterm contractions was found to be higher in patients undergoing laparotomy and this was statistically significant. Other measures, such as spontaneous abortion, vaginal bleeding, < 37 week delivery, and intrauterine fetal demise, were not found to have a significant difference.

Conclusion Adnexal masses in pregnancy occur infrequently and depending on whether the surgery was performed emergently or electively, via laparoscopy or laparotomy, the outcomes will vary.

Keywords

adnexal mass - pregnancy - malignancy
 

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