GEBELİKTE GÖRÜLEN ADNEKSİYAL KİTLELER: LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Öz

Ultrasonografik incelemenin obstetrikte rutin haline gelmesinden beri gebelikte tanı alan adneksiyal kitle olgusu artmıştır. Adneksiyal kitlesi olan bir gebede ultrasonografik incelemenin amacı konservatif yaklaşımın uygun olacağı hastalar ile cerrahi gerekecek olan hastaları doğru tanımlamaktır. Bu yayında; gebelerde adneksiyal kitlenin ayırı- cı tanısı, uygun araştırma ve tedavi seçenekleri literatür bilgisi ile gözden geçirilmiştir.

Anahtar Kelimeler

• Adneksiyal Kitle, Gebelik, Cerrahi, Ultrason.

Öz

Since ultrasonographic examination has become a routine component of obstetric management, diagnosis of adnexal mass in pregnant patient has increased. The aim of ultrasonograpic evaluation of an adnexal mass in the pregnant patient is to identify those patients in whom conservative management is appropriate versus those who require more immediate interventions such as surgery. This article reviews the differential diagnosis, appropiate evaluation and treatment options for adnexal masses in pregnant patient.

Anahtar Kelimeler

• Adnexal Mass, Pregnancy, Surgery, Ultrasound

Kaynakça

1. 1. Leiserowitz G. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61:463-70.
2. 2. Glanc P, Salem S, Farine D. Adnexal masses in pregnant patient: a diagnostic and management challenge. UltrasoundQ2008;24:225-40.
3. 3. Whitecar P, Turner S, Higby K. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999;181:19-24.
4. 4. Schmeler K, Mayo-Smith W, Peipert J, Weitzen S, Manuel M, Gordinier M. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005;105:1098-103.
5. 5. Bernhard LM, Klebba PK, Gray DL, et al. Predictors of persistence of adnexal masses in pregnancy. Obstet Gynecol. 1999;93:585–589.
6. 6. Giuntoli R, Vang R, Bristow R. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006;49:492-505.
7. 7. Bromley B, Benacerraf B. Adnexal masses in pregnancy: accuracy of sonographic diagnosis and outcome. J Ultrasound Med 1997:46;401-6.
8. 8. Usui R, Minakami H, Kosuge S, Iwasaki R, Ohwada M, Sato I. A retrospective survey of clinical, pathologic, and prognostic features of adnexal masses operated on during pregnancy. J Obstet Gynaecol Res 2000;26:89-93.

9. 9. Platek DN, Henderson CE, Goldberg GL. The management of persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995;173: 1236-40.
10. 10. Lerner JP, Timor-Tritsch IE, Federman A, Abramovich G. Transvaginal ultrasonographic characterization of ovarian masses with improved, weighted scoring system. Am J Obstet Gynecol 1994;170:81-5.
11. 11. Wheeler TC, Fleischer AC. Complex adnexal mass in pregnancy: predictive value of color Doppler sonography. J Ultrasound Med 1997;16:425-8.
12. 12. Sarandokou A, Protonotariou E, Rizos D. Tumor markers in biological fluids associated with pregnancy. Crit Rev Clin Lab Sci. 2007;44:151.