Adnexal masses encountered during cesarean delivery

作者：Baser Eralp^*; Erkilinc Selcuk; Esin Sertac; Togrul Cihan; Biberoglu Ebru; Karaca Mujdegul Z; Gungor Tayfun; Danisman Nuri

来源：International Journal of Gynecology & Obstetrics, 2013, 123(2): 124-126.

DOI：10.1016/j.ijgo.2013.06.015

• Adnexal mass
• Cesarean delivery
• Ovarian cancer
• Pregnancy

Objective: To outline and discuss the clinical features and outcomes of adnexal masses that were treated during cesarean delivery at a tertiary referral hospital located in Ankara, Turkey. Methods: The operating room and pathology department databases for 2007-2012 were retrospectively reviewed for surgically managed adnexal masses during cesarean delivery. Clinicopathologic characteristics and maternal and neonatal outcomes were assessed. Results: Adnexal masses occurred in 151 women (0.3% of all cesarean deliveries). Most (54.9%) masses were incidentally discovered during cesarean delivery. The mean mass size was 53 +/- 3.7 cm (range, 3-30 cm). The majority (96.7%) of the women underwent excision of the mass and ovarian repair. Most masses were benign, with dermoid cysts constituting the most common diagnosis (23.8%). Rare tumors such as thecoma, hyperreactio luteinalis, hemangioma, and benign Brenner tumor were also encountered. Three (2.0%) women were postoperatively diagnosed with ovarian cancer. Preterm delivery and neonatal intensive care unit admission rates were 15.9% and 11.9%, respectively. There were no serious neonatal morbidities and no neonatal mortality. Conclusion: Adnexal masses encountered during cesarean delivery generally have a favorable prognosis in terms of maternal and fetal outcome.

• 出版日期2013-11