Adnexal masses in pregnancy: a review of eight cases undergoing surgical management.

Abstract:

OBJECTIVE:Our purpose was to determine maternal and foetal outcome in patients undergoing surgery for a pelvic mass in pregnancy. STUDY DESIGN:Maternal and foetal records (outcomes) of eight cases of adnexal masses associated with intrauterine pregnancy that required laparotomy or aspiration or that were diagnosed incidentally at the time of caesarean section were reviewed. The review was performed on patients who were seen with an adnexal mass in pregnancy from January 1994 to February 2001. We included patients with simple or complex masses > or = 6 cm that were persistent on ultrasonographic evaluation and patients with adnexal masses with complications (torsion, haemorrhage). We excluded cysts that spontaneously resolved by 16 weeks' gestation. RESULTS:Eight patients of 16,472 deliveries were identified with adnexal masses that satisfied the above criteria. Six patients underwent laparotomy in the first and/or the second trimester of pregnancy. In two of them emergency laparotomy were done due to torsion or haemorrhage as a complication of the adnexal masses. In all patients benign ovarian tumors were found. Two patients underwent transvaginal aspiration of simplex cysts due to subtorsion in the first trimester of gestation (negative results on cytological study). All of these eight patients had term deliveries. Two patients, due to obstetrical reasons, underwent caesarean section. CONCLUSION:The incidence of an adnexal mass during pregnancy in our population is consistent with what has been reported in the literature. We emphasize that transvaginal aspiration and drainage of symptomatic simplex cysts in the first trimester and percutaneous cysts in the second trimester can avert laparotomy. Our data support a randomised clinical study to determine optimal management of an adnexal mass in pregnancy.

journal_name

Eur J Gynaecol Oncol

authors

Duić Z,Kukura V,Ciglar S,Podobnik M,Podgajski M

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

133-4

issue

2

eissn

0392-2936

issn

2709-0086

journal_volume

23

pub_type

杂志文章
  • Genetic imbalance related to cisplatin-based chemoresistance in epithelial ovarian cancer.

    abstract:PURPOSE OF INVESTIGATION:To identify genetic imbalance related to chemoresistance in epithelial ovarian cancer. METHODS:We screened abnormal chromosomal regions in cisplatin-resistant and cisplatin-sensitive human ovarian cancer cell lines employing comparative genomic hybridization (CGH). We also documented non-rando...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Huanchun Y,Shulan Z,Jing L

    更新日期:2009-01-01 00:00:00

  • Sertoli-Leydig cell tumor of the ovary: a clinicopathologic study of 10 cases.

    abstract::Ten patients with Sertoli-Leydig cell tumors of the ovary treated consecutively were analyzed retrospectively for clinicopathological characteristics, treatment modalities and survival. All patients were subjected to a surgical procedure including unilateral salpingoophorectomy (USO) in 5, total abdominal hysterectomy...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Ayhan A,Tuncer ZS,Hakverdi AU,Yüce K,Ayhan A

    更新日期:1996-01-01 00:00:00

  • Identification of microRNAs and target genes involved in serous ovarian carcinoma and their influence on survival.

    abstract:AIMS:To identify the expression of key microRNAs and their predicted target genes involved in serous ovarian carcinoma (SOC) and correlation between miRNAs and prognosis. MATERIALS AND METHODS:The authors used quantitative polymerase chain reaction (qPCR) to detect the expression of miR-145, miR-143, miR-146a, miR-93,...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Wang L,Wang B,Fang M,Guo F,Cui M

    更新日期:2014-01-01 00:00:00

  • Bullous pemphigoid masquerading as acute radiation dermatitis: case report.

    abstract::We report the first case of bullous pemphigoid complicating radiation therapy for vulvar cancer. Shortly after completion of postoperative radiation therapy for a TIN1 vulvar carcinoma, the patient presented with a rash that started within, but continued to extend, well beyond the radiation field. A biopsy of the lesi...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Parikh SK,Ravi A,Kuo DY,Nori D

    更新日期:2001-01-01 00:00:00

  • Prevalence of Chlamydia trachomatis and herpes simplex virus 2 in cervical carcinoma associated with human papillomavirus detected in paraffin-sectioned samples.

    abstract:PURPOSE:The aim of the study was to evaluate the frequency of occurrence of HPV and co-infection: Chlamydia (C.) trachomatis and HSV-2 in cervical cancer. MATERIAL AND METHODS:The study group consisted of 570 paraffin-sectioned samples of patients with cervical cancer. In order to identify viral and bacterial DNA in D...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Kwaśniewska A,Korobowicz E,Zdunek M,Skoczyński M,Kwaśniewski W,Daniłoś J,Goździcka-Józefiak A

    更新日期:2009-01-01 00:00:00

  • Primary adenocarcinoma of the fallopian tube.

    abstract::Nineteen women with a mean age of 62 were treated for primary adenocarcinoma of the fallopian tube from 1960 to 1980. Common presentations were bleeding or discharge, pelvic mass, and pain. Cervical cytology was positive in five of eleven cases; endometrial curettings revealed adenocarcinoma in three of nine cases. St...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Muntz HG,Tarraza HM,Granai CO,Fuller AF Jr

    更新日期:1989-01-01 00:00:00

  • Endodermal sinus tumor of the ovary.

    abstract::Endodermal sinus tumor (EST) of the ovary is a germ cell tumor that is now recognized more frequently than in the past. Since problems concerning natural history, prognosis and therapy of these neoplasms are not entirely resolved, it should be underlined the need to report new cases. The authors describe four cases of...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Perino A,Daniele E,Alaimo R,Aragona F,Genova G,Campesi G

    更新日期:1981-01-01 00:00:00

  • Prognostic significance of Bcl-2 and p53 protein expression in stage IIB and IIIB squamous cell carcinoma of the cervix.

    abstract::Cervical cancer is the most common cancer among women in South India. More than 70% of the cases present in stage IIB and IIIB and of these more than 50% fail conventional treatment. The purpose of the present study was to determine the prognostic significance of Bcl-2 and p53 expression in squamous cell carcinomas of...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Rajkumar T,Rajan S,Baruah RK,Majhi U,Selvaluxmi G,Vasanthan A

    更新日期:1998-01-01 00:00:00

  • Atypical polypoid adenomyoma of the uterus. A case report and a review of the literature.

    abstract::Atypical polypoid adenomyoma (APA) is a rare, benign lesion. The tumor occurs in nulliparous women aged 22-48 years (average 33 years) and it has been suggested as being related to prolonged estrogenic stimulation. We describe a case of a 72-year-old woman who presented at our hospital with persistent, worsening urina...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Zizi-Sermpetzoglou A,Moustou E,Petrakopoulou N,Arkoumani E,Tepelenis N,Savvaidou V

    更新日期:2012-01-01 00:00:00

  • A case of ovarian endometrioid adenocarcinoma with yolk sac tumor in a 35-year-old woman.

    abstract::Ovarian yolk sac tumor (YST) is a malignant ovarian neoplasm differentiated from primordial germ cells that occur in young age, while endometrioid carcinoma (ECA) is a müllerian epithelial tumor that usually occurs in older patients. The coexistence of an ovarian ECA and YST component is very rare. Only 12 cases have ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Hong DG,Chong GO,Seong WJ,Lee YS,Cho YL,Park JY,Chae JM,Park IS

    更新日期:2010-01-01 00:00:00

  • Does an immunoscintigraphy with OC 125 affect the prognosis of ovarian cancer?

    abstract::In a retrospective study, a total of 120 ovarian cancer patients were paired in terms of staging, grading, patent age, and operative and cytostatic therapy. Half of the patients underwent radioimmunoscintigraphy for diagnostic purposes. From the point of view of possible adjuvant immunological therapy, we investigated...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Osmers RG,Rybicki T,Meden H,Kuhn W

    更新日期:1997-01-01 00:00:00

  • Ultra short-term antimicrobial prophylaxis in patients undergoing surgery for gynecologic cancer.

    abstract:OBJECTIVE:To evaluate the efficacy of ultra short-term antimicrobial prophylaxis with ceftazidime in patients undergoing radical gynecologic surgery. PATIENTS AND METHODS:Two hundred patients undergoing surgery for a malignant disease of the female genital tract were enrolled in a prospective trial to receive 2.0 g ce...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Cormio G,Di Fazio F,Di Gesù G,Scioscia M,Carriero C,Loverro G,Selvaggi L

    更新日期:2003-01-01 00:00:00

  • Technetium-99m-sestamibi scintigraphy in gynecological cancer imaging.

    abstract::A new diagnostic method, technetium-99m-sestamibi scintigraphy, and its potential use in gynecological oncology is described. The biochemical mechanisms of uptake and retention of technetium-99m-sestamibi in neoplastic cells are presented and the grounds for the potential use of the tracer in predicting the response t...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Stelmachów J,Timorek-Lemieszczuk A

    更新日期:2008-01-01 00:00:00

  • Conservative management of epithelial ovarian cancer.

    abstract::We are currently faced with a progressive delay in the age at which women conceive for the first time. This raises the possibility of the appearance of gynecologic disorders that may affect fertility, including neoplasms of the ovary. Fertility-sparing surgery is defined as the preservation of ovarian tissue in one or...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Dexeus S,Labastida R,Dexeus D

    更新日期:2005-01-01 00:00:00

  • Optimal variants of treatment of stage I endometrial carcinoma and its choice.

    abstract::2195 patients affected by endometrial carcinoma were treated at the Tbilisi and the St. Petersburg Oncological Institutes from 1968 to 1987. The incidence of different stages was respectively: I 78.8%; II 11.6%; III 9.0%; IV 0.4%. Adenocarcinoma was the histotype more frequently observed and the grade of differentiati...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Charkviani TL

    更新日期:1993-01-01 00:00:00

  • The sentinel node biopsy in patients with breast cancer; many controversies remain.

    abstract::The sentinel node procedure has increasingly been used as a diagnostic tool for staging breast cancer. Although many institutes have embraced this procedure, many issues concerning the indications and the technique itself remain unsolved. In this review, several aspects regarding these controversies are discussed from...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Van Rijk MC,Nieweg OE,Oldenburg HS,Rutgers EJ,Kroon BB

    更新日期:2006-01-01 00:00:00

  • Endometrial carcinoma in breast cancer patients treated with tamoxifen. Two case report and review of the literature.

    abstract::Recent reports suggest an increased incidence of endometrial cancer in breast cancer patients under long-term adjuvant tamoxifen (TAM) treatment. The Authors describe two cases of endometrial adenocarcinoma among 80 post-menopausal patients affected with breast cancer and treated with TAM. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章,评审

    doi:

    authors: Lanza A,Alba E,Re A,Tessarolo M,Leo L,Bellino R,Lauricella A,Wierdis T

    更新日期:1994-01-01 00:00:00

  • A case of melanocytic cervical adenosquamous carcinoma complicated with Cushing's syndrome.

    abstract:BACKGROUND:To date, cervical carcinoma complicated with Cushing's syndrome were all diagnosed as small cell carcinoma histo- logically, but not adenosquamous carcinoma. Here the authors present the diagnosis, management, and prognosis of a case of melanocytic cervical adenosquamous carcinoma complicated with Cushing's ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Chen Y,Zhang Y,Wang L,Yang X

    更新日期:2017-01-01 00:00:00

  • Choriocarcinoma complicated by a vaginal fistula, sepsis and hemorrhagic shock. Case report.

    abstract::A case of poor prognostic choriocarcinoma developing sepsis is described. The patient was treated with vaginal drainage of pelvic abscess metastases, bilateral hypogastric artery ligation to prevent hemorrhage and single-agent chemotherapy. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Murta EF,Nomelini RS,Rua AM,Adad SJ

    更新日期:2006-01-01 00:00:00

  • Histopathological correlation of splenic disease with radiological and surgical findings: should we incorporate splenectomy into standard procedures for disseminated Millerian adenocarcinoma?

    abstract:PURPOSE OF INVESTIGATION:To determine the positive predictive value (PPV) of both preoperative radiological and intraoperative identification of splenic disease in cases of advanced and recurrent gynaecological malignancy. MATERIALS AND METHODS:A retrospective study of all splenectomies performed during surgeries for ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Phillips A,Pounds R,Balega J,Singh K

    更新日期:2016-01-01 00:00:00

  • Proposal of diagnostic approach in mammary pathology.

    abstract::The Authors, on the basis of the literature and their own experience, propose a diagnostic schedule for detection of breast disease based on integrated thermography, diaphanoscopy, echography and mammography. ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Velasco M,Graziottin A

    更新日期:1981-01-01 00:00:00

  • Curcumin promotes the apoptosis of human endometrial carcinoma cells by downregulating the expression of androgen receptor through Wnt signal pathway.

    abstract:OBJECTIVE:The current study aimed to explore the effect ofcurcumin on androgen receptor (AR) expression in endometrial carcinoma cells, as well as the underlying mechanisms. MATERIALS AND METHODS:Endometrial carcinoma cells were treated with curcumin (10, 50, and 100 micromol/l) for 12, 24, and 48 hours. Their growth ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Feng W,Yang CX,Zhang L,Fang Y,Yan M

    更新日期:2014-01-01 00:00:00

  • Techniques of pelvic and para-aortic lymphadenectomy in the surgical treatment of cervix carcinoma.

    abstract::402 radical hysterectomies (17 ultraradical) were performed with lymphadenectomy. Positive metastatic nodes (N+) rate was 23.6% with an arithmetic mean of 22 excised lymph nodes. Single N+ belonged mostly to the obturatory group, double N+ to obturatory and external iliac groups, while multiple N+ (24 cases) had no pa...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Ferraris G,Lanza A,D'Addato F,Valli M,Re A,Bellino R,Gordini G,Allone T,Raspollini M

    更新日期:1988-01-01 00:00:00

  • Uterine tumors resembling ovarian sex cord tumors: a case report with adenomyosis and complex hyperplasia with atypia.

    abstract::Uterine tumors resembling ovarian sex cord tumors (UTROSCTs) are very rare uterine neoplasms. They mostly behave in a benign fashion but cases were reported with extra-uterine spread. There are less than 50 cases reported in the literature so far according to the present authors' knowledge. We report a case of 45-year...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Tatar B,Yalcin Y,Kursat Bozkurt K,Erdemoglu E,Kapucuoglu N,Erdemoglu E

    更新日期:2016-01-01 00:00:00

  • Epithelioid leiomyosarcoma of the uterus: computed tomography findings.

    abstract::Uterine epithelioid leiomyosarcoma is a rare neoplasm. There have been no previous reports describing computed tomography (CT) findings for this tumor. A 31-year-old woman presented with a heterogeneous enhancing mass, with internal septa, in the uterus, which was shown on CT images. Histological diagnosis was compati...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Hsieh MC,Lin CY,Chien JC,Cheng CJ,Chan WP

    更新日期:2010-01-01 00:00:00

  • How to avoid suboptimal management of cervical carcinoma by simple hysterectomy.

    abstract:OBJECTIVE:To determine the reasons leading to an inappropriate simple hysterectomy in the presence of carcinoma of the cervix and to evaluate factors related to survival. METHODS:All preoperative information was abstracted from 63 cervical cancer patients cleared by simple hysterectomy from 1980-1993. Cervical cancer ...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Rodolakis A,Diakomanolis E,Haidopoulos D,Voulgaris Z,Protopapas A,Makris N,Michalas S

    更新日期:1999-01-01 00:00:00

  • The influence of some prognostic factors on the clinical outcome of patients with squamous cell carcinoma of the vulva.

    abstract::The present paper examined the influence of patient age, surgical T stage, tumor size, tumor differentiation and lymphnodal status on the clinical outcome of 29 patients with primary vulvar squamous cell carcinoma treated with radical surgery. Eighteen patients underwent radical vulvectomy with bilateral inguinal-femo...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Fioretti P,Gadducci A,Prato B,Rispoli G,Tavella N,Fanucchi A,Facchini V

    更新日期:1992-01-01 00:00:00

  • Laparoscopic ovarian transposition in young women with cervical squamous cell carcinoma treated by primary pelvic irradiation.

    abstract:OBJECTIVE:To report the authors' experience with laparoscopic ovarian transposition and ovarian function preservation in young women with cervical squamous cell carcinoma treated by primary pelvic irradiation. MATERIALS AND METHODS:Twenty-seven premenopausal patients were treated with radiotherapy for a cervical squam...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Shou H,Chen Y,Chen Z,Zhu T,Ni J

    更新日期:2015-01-01 00:00:00

  • Carcinoma IB of the endometrium: spread and prognostic factors.

    abstract::The prognostic factors and their intercorrelation in 47 patients with IB endometrial cancer are presented. The data reveal the particular behaviour of the lymphatic involvement: five patients (10.6%) showed metastases to pelvic lymph nodes and six patients (12.8%) had paraaortic node metastases; altogether two women (...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Lecca U,Medda F,Parodo G,Puligheddu P,Marcello C

    更新日期:1987-01-01 00:00:00

  • Retrograde lymphatic metastasis of an ileal carcinoid.

    abstract:BACKGROUND:Carcinoid tumors are uncommon tumors, derived from Kulchitsky cells, which generally follow a slow, orderly metastatic spread. They are often associated with second primary malignant neoplasms either synchronously or metachronously. CASE REPORT:A 62 year old white female with a history of severe dysplasia o...

    journal_title:European journal of gynaecological oncology

    pub_type: 杂志文章

    doi:

    authors: Geisler JP,Lee TH,Cudahy TJ,Penman J,Geisler HE

    更新日期:1994-01-01 00:00:00