Original scientific paper
Intraoperative findings of adnexal masses at caesarean section in 11-year period
Vladimir Blagaić
; University Department of Obstetrics and Gynecology, University Hospital »Sveti Duh«, Zagreb, Croatia
Lea Rukavina-Kralj
; University Department of Obstetrics and Gynecology, University Hospital »Sveti Duh«, Zagreb, Croatia
Ana Jelčić
; University Department of Obstetrics and Gynecology, University Hospital »Sveti Duh«, Zagreb, Croatia
Alenka Akšamija
; University Department of Obstetrics and Gynecology, University Hospital »Sveti Duh«, Zagreb, Croatia
Gordana Brozović
; University Department of Anesthesiology Reanimatology and Intensive Care Medicine, University Hospital »Sveti Duh«, Zagreb, Croatia
Abstract
Finding of adnexal masses during pregnancy is an exceptional event. The incidence is less than 5% and most cases resolve spontaneously as the pregnancy progresses. Our goal was to describe a series of patients with adnexal masses in pregnancy, found incidentally during Cesarean section (CS), as well as the histopathological characteristics of the masses extirpated.
We retrospectively reviewed medical records of patients with previously unrecognized adnexal masses removed at CS in the period of 11 years, from 2000 to 2010 in our Hospital. The number of total live births was 32 603 and 7 060 of them were by CS (21.65%). There were 49 cases of incidental adnexal masses (49/7060, 0.69%), out of which 13 (26.5%) were 5 cm or greater in size. All of the masses were removed at CS. The pathologic diagnosis of the ovarian masses was as follows: simple serous cyst 27 (55.1%), cystadenoma mucinosum 6 (12.2%), teratoma adultum 5 (10.2%), fibroma 2 (4.08%), corpus luteum 2 (4.08%), endometrioma 2 (4.08%), cystadenofybroma serosum 1 (2.04%), cystadenoma serosum 1 (2.04%), luteoma 1 (2.04%), teratoma immaturum 1 (2.04%), dermoid cyst 1 (2.04%). Extirpation procedure during CS did not alter the morbidity of the operation, it enabled exclusion of malignancy and avoided possible surgical procedures in the future for the patient, although there are controversial data in the literature about performing it during CS. Our conclusion is that incidental masses detected at the time of CS should be extirpated in order to exclude malignancy and to avoid any additional surgical procedure following caesarean section because the extirpation itself does not change the outcome of the operation.
Keywords
adnexal mass; caesarean section; pregnancy
Hrčak ID:
278534
URI
Publication date:
21.10.2010.
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