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Re: adnexal cyst in a 27-wk-pregnancyFrom: DoctorJoe@aol.comWed Jul 23 20:15:13 1997
In a message dated 7/23/97 8:08:07 PM, you wrote: <<A thin 20 y/o pregnant woman came to her first prenatal visit at 27 wks of gestation, in which a pelvic mass was palpated. The U/S ordered revealed a 5.5 x 7.0 cm adnexal cyst, with features compatible with a "simple" ovarian cyst (unilocular, thin-walled, no septations or internal echoes). She has been completely asymptomatic so far. At this point, what is the most recommended management? Observe with follow-up U/S scans? Exploratory laparotomy?>> Since she's so far along already, I'd follow with scans and await delivery. If it were earlier in gestation, maybe a lap... but not now. Joe P.
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