Gebelik sırasında tespit edilen adneksial kitleler: Bir üçüncü basamak merkezin deneyimi

Year 2021, , 751 - 756, 27.12.2021

Esra Keles , Uğur Kemal Öztürk , Burak Giray , Serkan Akış , Şefik Özyürek , Canan Kabaca , Murat Api

https://doi.org/10.31832/smj.865975

Abstract

Amaç: Jinekolojik onkoloji bölümüne sevk edilen adneksiyal kitlesi olan gebeleri değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Jinekolojik onkoloji bölümüne Kasım 2016 ve Haziran 2019 tarihleri arasında sevk edilen şüpheli adneksial kitlesi olan gebelerin demografik özelliklerini, gebelik yaşını, ultrasonografik ve manyetik rezonans görüntüleme bulgularını, tümör markerlarını ve histopatolojik sonuçlarını içeren verileri hastane veri tabanı kullanılarak toplandı. Spontan regrese olan kitleler, benign adneksial kitleler ve eş zamanlı ektopik gebeliği olan hastalar çalışma dışı bırakıldı.
Bulgular: Hastaların ortalama yaşı 30,9 ± 0,87 idi. Tanı anında ortalama gebelik haftası 14,05 ± 1,36 hafta ve doğumdaki ortalama gebelik haftası 35,9 ± 1,23 hafta idi. Tanı anında ortalama gebelik haftası 14,05 ± 1,36 hafta idi. Yirmi beş hastaya (%59,5) laparotomi yapılırken, 18 hastaya (%40,5) konservatif tedavi uygulandı. Histopatolojik sonuçlar 8 (%32) hastada müsinöz kistadenom, 6 (%24) hastada matür kistik teratom, 3 (%12) hastada borderline müsinöz kistadenom, 2 (%8) hastada borderline seröz kistadenom, 2 (%8) hastada seröz kistadenom, 2 (%8) hastada Brenner tümörü, 1 (%4) hastada teka lutein kisti, 1 (%4) hastada ise fibroma idi. Hastaların hiçbirinde malign adneksial kitleye rastlanmadı.
Sonuç: Gebelikteki adneksiyal kitleler 17. gebelik haftasından sonra jinekolojik onkoloji bölümüne sevk edilmelidir.

Keywords

teratom, gebelik, borderline over tümörü, adneksial kitle

Adnexal masses detected during pregnancy: A tertiary center experience

Abstract

Objective: We aimed to evaluate adnexal masses in pregnant women who were referred to the gynecologic oncology department.
Material and Methods: Data of the pregnant women referred to the gynecological oncology department between November 2016 and June 2019 with suspicion of adnexal malignancy were retrieved through the hospital's electronic medical records that included patients' demographic characteristics, gestational age, ultrasonographic, and magnetic resonance imaging findings, serum tumor markers, histopathological results. Patients with a spontaneously regressed adnexal mass, benign adnexal masses, and concurrent ectopic pregnancy were excluded.
Results: The mean age of the patients was 30.9±0.87 years. The mean gestational age at diagnosis was 14.05±1.36 weeks and the mean gestational age at delivery was 35.9±1.23 weeks. The mean gestational age at diagnosis was 14.05±1.36 weeks. Twenty-five patients (59.5%) underwent laparotomy while 18 patients (40.5%) managed conservatively. The histopathological results were mucinous cystadenoma in 8 (32%) patients, mature cystic teratoma in 6 (24%) patients, borderline mucinous cystadenoma in 3 (12%) patients, borderline serous cystadenoma in 2 (8%) patients, serous cystadenoma in 2 (8%) patients, Brenner’s tumor in 2 (8%) patients, theca lutein cysts in 1 (4%) patient, and fibroma in 1 (4%) patient. None of the patients has malignant neoplasm.
Conclusion: Adnexal masses at pregnancy should be referred gynecologic oncology department after the 17th week of gestation.

Keywords

adnexal mass, borderline ovarian tumor, pregnancy, teratoma

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