Re: Ovarian cyst and pregnancy

From: bclaure (bclaure@club-internet.fr)
Wed Dec 11 16:02:28 1996


Ana C. Cunha wrote: >
> Summary:
> Teenager 20 weeks pregnant. At first ultrasound, 12 weeks, there was a ovarian mixed tumor suggestive of being a dermoid cyst, with 5.9 x 4.5 cm.
> The dimensions are the same at the 20 weeks scan.
> What would be your attitude in this case. Surgery or expectant?
>

For a dermoid cyst if it hasn't disappeared at 12 weeks operate! At the beginning laparoscopy.

The main risk is torsion, rupture, ASOŠ without forgetting cancer.

see: Cristalli B, Cayol A, Izard V, Levardon M, Value of coelioscopic surgical treatment of ovarian tumors at the beginning of pregnancy, J Gynecol Obstet Biol Reprod (Paris) 20: 5, 665-8, 1991.

Bernard Cristalli MD CNGOF Paris - France





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