Re: ovarian cyst at 28 weeks pregnant

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At Wed, 27 Feb 2002, Lynn D. Montgomery, MD wrote: >
>At Wed, 27 Feb 2002, Jada wrote:
>>
>>My first ultrasound at 22 weeks showed a fluid-filled 6cm ovarian cyst.
>>Follow-up ultrasound at 27 weeks shows that the cyst has grown to 8.5cm
>>and now has a septation. Is it normal for these to grow instead of
>>shrink? What is the usual treatment? My doctor said that if it ruptures,
>>emergency surgery would be necessary, although that is not likely. It
>>seems like a rupture would resolve the problem. Please advise me of
>>typical treatment in this situation, and any potential risks to
>>pregnancy.
>
>Jada,
>Most ovarian cysts resolve over the course of a pregnancy. Those that
>don't tend to be followed conservatively as long as there are not
>concerning findings (i.e. internal echoes or septations); in this case,
>they are addressed surgically during the second trimester. At your
>gestational age, conservative management with observation is likely the
>best choice. Rupturing the cyst will only result in the potential for
>surgery and without removal following rupture, cysts have a tendency to
>just recur...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>

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