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Yıl 2008, Cilt 39, Sayı 2, 55 - 61, 01.03.2008

Öz

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Kaynakça

  • I. Hess LW, Peaceman A, Obrien WF, Winkel CA, Cruikshank DP, Morris JC. Adnexal mass occuringwith intrauterine pregnancy. AmJObstet Gynecol 1988; 158:102-109
  • 2 Kumarı I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review.Aust N Z J Obstet Gynaecol 2006 Feb;46(l):52-54
  • 3.PlatekDN, Henderson CE, Goldberg GL. The management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995; 173: 1236-1241
  • 4. Thanton C, Wells M,. Ovarian cyst in pregnancy. Obstet Gynecol 1987; 69: 717-719
  • 5. Kohler MF. The adnexal mass in pregnancy
  • Postgrad Obstet Gynecol 1994;14: 1-4
  • 6. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 7. ChittacharoenA, Wanqpusayavisut A, O- Prasertsawat P Adnexal masses in pregnancy. J MedAssoc Thai. 2005 Oct;88 Suppl 2.S37-40
  • 8. Dgani R, Schwartz Z, Atar E, Zosme A, Lancet A. Ovarian cancer during pregnancy. Gynecol Oncol 1989; 33: 326-329
  • 9. Wheler TC, Fleischer AC. Complex adnexal mass in pregnancy, predictive value of color doppler sonograpy. J Ultrasound Med, 1997; 16: 425-428
  • 10. Curtis M, Hopkins MP, Zarlingo T, Martino C. Magnetic resonance imaging to avoid lapa?'atomy in pregnancy. Obstet Gynecol 1993; 82: 833-836
  • II. Bahador A, Lowe MP, Cheng J, Roman LD
  • Gynecologic cancer in pregnancy, In: Gerhenson DM, Me Guire WP,ed. Gynecologic cancer controversies in management, Philedelphia Elsevier 1994:921 12. Bromley B, BenacerrafB. Adnexal masses during pregnancy. J Ultrasound Med. 1997 Jul;16(7):447-52
  • 13. Hogston P, Lilford RJ. Ultrasound study of ovarian cysts in pregnancy, prevelance and significance. BrJObstet Gynecol 1986; 83: 625- 628
  • 14. Whitecar MP, Turner S, HigbykMK. Adnexal masses in pregnancy: A review of 130 cases uundergoing surgical management. Am J Obstet Gynecol 1999 Jul;181(1):19-24
  • 15. Sekmeler KM, Mayo-Smith WW, PeipertJF, Weitsen S, Manuel MD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005 May; 105(5 Pt l):1098-1103
  • 16. StruykAP, Treffers PE. Ovarian tumors in pregnancy. Acta Obstet Gynecol Scand 1984;63(5):421-4
  • 17. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series
  • Eur J Obstet GynecolReprod Biol. 2003 Jun 10;108(2):217-222
  • 18. Ribic-Pucelj M, Kobal B, Peternelj-Marinsek S. Surgical treatment of adnexal masses in pregnancy: indications, surgical approach and pregnancy outcome. J Reprod M. 2007 Apr; 52(4): 273-9
  • 19. Parker WH, Childres JM, Canis M
  • Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol, 1996 May; 174(5): 1499-501
  • 20. Ready MB, Galon EL, Richars WE
  • Laparoscopy during pregnancy: a survey of laparo-endoscopic sur gens. J Reprod Med 1997; 42: 33-36
  • 21. Yuen PM, Ng PS, Leung PL, Rogers PS
  • Outcome in laparoscopic management of persisitent adnexal masses during the second trimester of pregnancy. Surg Endosc. 2004 Sep;18(9):1354-7. Epub 2004 May 28 22. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 23. Reynosa EE, SheperdFA, Messner HA. Acute leukemia in pregnancy, he Toronto Leukemia Study Group experience with long-term follow- up of childre n exposed in utero to chemotherapeutic agents. J Clin Oncol. 1987 Jul;5(7):1098-106.
  • 24. Karlen JR Akbari A, Cook WA
  • Dysgerminoma associated with pregnancy. Obstet Gynecol. 1979 Mar; 5 3 (3): 3 30-5
  • 25. Bayhan G, Aban M, Yayla M. Cis-platinium combination chemotherapy during pregnancy for mucinous cystadenocarcinocarcinoma of the ovary. Eur J Gynaecol Oncol. 1999;20(3):231- 2
  • 26. Henderson CE, Giovanni E, Garfunkel D
  • Platinium chemotherapy during pregnancy for serous cystadenocarcinoma of the ovary. Gynecol Oncol. 1993 Apr;49(l):92-4
  • 27. Otton G, Higgins S, Phillips KA. A case of early stage epithelial ovarian cancer in pregnancy. IntJ Gynecol Cancer. 2001 Sep-Oct;ll(5):413-7.

Management of adnexal masses in pregnancy: analysis of 27 cases and review of the literature

Yıl 2008, Cilt 39, Sayı 2, 55 - 61, 01.03.2008

Öz

The incidence of adnexal masses in pregnancy is approximately 1%. Most of them are corpus luteum and benign physiological cysts seen in first trimester. 90% of these cysts are resolved spontaneously in the second trimester. The rate of complication such as torsion and rupture in persisted cysts is about 25%. The risk of malignancy is between 2-5%. It is reasonable to perform surgery in cysts with high risk of malignancy or in cysts susceptible to complication, other masses can be treated conservatively. Suitable time for surgery is between 16th and 18th weeks of gestation. The traditional method of management of adnexal masses in pregnancy is laparatomy but in certain conditions laparoscopy can be performed. Most of the ovarian cancers detected inpregnacy are germ cell tumors and these can be operated conservatively. In this paper management of adnexal masses in pregnancy, difficulties in diagnosis, treatment methods and timing were mentioned. Besides that, 27 adnexal masses diagnosed during pregnancy in our clinic were analyzed under the view of the literature. i

Kaynakça

  • I. Hess LW, Peaceman A, Obrien WF, Winkel CA, Cruikshank DP, Morris JC. Adnexal mass occuringwith intrauterine pregnancy. AmJObstet Gynecol 1988; 158:102-109
  • 2 Kumarı I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review.Aust N Z J Obstet Gynaecol 2006 Feb;46(l):52-54
  • 3.PlatekDN, Henderson CE, Goldberg GL. The management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995; 173: 1236-1241
  • 4. Thanton C, Wells M,. Ovarian cyst in pregnancy. Obstet Gynecol 1987; 69: 717-719
  • 5. Kohler MF. The adnexal mass in pregnancy
  • Postgrad Obstet Gynecol 1994;14: 1-4
  • 6. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 7. ChittacharoenA, Wanqpusayavisut A, O- Prasertsawat P Adnexal masses in pregnancy. J MedAssoc Thai. 2005 Oct;88 Suppl 2.S37-40
  • 8. Dgani R, Schwartz Z, Atar E, Zosme A, Lancet A. Ovarian cancer during pregnancy. Gynecol Oncol 1989; 33: 326-329
  • 9. Wheler TC, Fleischer AC. Complex adnexal mass in pregnancy, predictive value of color doppler sonograpy. J Ultrasound Med, 1997; 16: 425-428
  • 10. Curtis M, Hopkins MP, Zarlingo T, Martino C. Magnetic resonance imaging to avoid lapa?'atomy in pregnancy. Obstet Gynecol 1993; 82: 833-836
  • II. Bahador A, Lowe MP, Cheng J, Roman LD
  • Gynecologic cancer in pregnancy, In: Gerhenson DM, Me Guire WP,ed. Gynecologic cancer controversies in management, Philedelphia Elsevier 1994:921 12. Bromley B, BenacerrafB. Adnexal masses during pregnancy. J Ultrasound Med. 1997 Jul;16(7):447-52
  • 13. Hogston P, Lilford RJ. Ultrasound study of ovarian cysts in pregnancy, prevelance and significance. BrJObstet Gynecol 1986; 83: 625- 628
  • 14. Whitecar MP, Turner S, HigbykMK. Adnexal masses in pregnancy: A review of 130 cases uundergoing surgical management. Am J Obstet Gynecol 1999 Jul;181(1):19-24
  • 15. Sekmeler KM, Mayo-Smith WW, PeipertJF, Weitsen S, Manuel MD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005 May; 105(5 Pt l):1098-1103
  • 16. StruykAP, Treffers PE. Ovarian tumors in pregnancy. Acta Obstet Gynecol Scand 1984;63(5):421-4
  • 17. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series
  • Eur J Obstet GynecolReprod Biol. 2003 Jun 10;108(2):217-222
  • 18. Ribic-Pucelj M, Kobal B, Peternelj-Marinsek S. Surgical treatment of adnexal masses in pregnancy: indications, surgical approach and pregnancy outcome. J Reprod M. 2007 Apr; 52(4): 273-9
  • 19. Parker WH, Childres JM, Canis M
  • Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol, 1996 May; 174(5): 1499-501
  • 20. Ready MB, Galon EL, Richars WE
  • Laparoscopy during pregnancy: a survey of laparo-endoscopic sur gens. J Reprod Med 1997; 42: 33-36
  • 21. Yuen PM, Ng PS, Leung PL, Rogers PS
  • Outcome in laparoscopic management of persisitent adnexal masses during the second trimester of pregnancy. Surg Endosc. 2004 Sep;18(9):1354-7. Epub 2004 May 28 22. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 23. Reynosa EE, SheperdFA, Messner HA. Acute leukemia in pregnancy, he Toronto Leukemia Study Group experience with long-term follow- up of childre n exposed in utero to chemotherapeutic agents. J Clin Oncol. 1987 Jul;5(7):1098-106.
  • 24. Karlen JR Akbari A, Cook WA
  • Dysgerminoma associated with pregnancy. Obstet Gynecol. 1979 Mar; 5 3 (3): 3 30-5
  • 25. Bayhan G, Aban M, Yayla M. Cis-platinium combination chemotherapy during pregnancy for mucinous cystadenocarcinocarcinoma of the ovary. Eur J Gynaecol Oncol. 1999;20(3):231- 2
  • 26. Henderson CE, Giovanni E, Garfunkel D
  • Platinium chemotherapy during pregnancy for serous cystadenocarcinoma of the ovary. Gynecol Oncol. 1993 Apr;49(l):92-4
  • 27. Otton G, Higgins S, Phillips KA. A case of early stage epithelial ovarian cancer in pregnancy. IntJ Gynecol Cancer. 2001 Sep-Oct;ll(5):413-7.

Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi

Yıl 2008, Cilt 39, Sayı 2, 55 - 61, 01.03.2008

Öz

Gebelikte adneksiyel kitle görülme sıklığı %1 civarındadır. Bunların çoğu ilk trimesterde görülen korpus luteum ve fizyolojikfolükül kistleridir. Yüzde doksanı gebeliğin 2. trimesterinde kaybolurlar. Persiste eden kistlerde torsiyon, rüptür gibi komplikasyon çıkarma olasılığı % 25 civarındadır. Malignite görülme olasılığı ise %2-5 arasındadır. Komplikasyon çıkaracağı düşünülen veya malignite riski yüksek kitlelere cerrahi yapmak mantıklı gözükmektedir, diğer kitleler konzervatif izlenebilir. Elekti/ cerrahi için uygun hafta gebeliğin 16-18 haftalarıdır. Gebelik ve adneksiyel kitleye cerrahi yaklaşımda geleneksel yöntem laparatomidir. Ancak laparoskopik girişim belli kurallara uyulursa, uygun bir yöntem olabilir. Gebelikte görülen over kanserlerinin çoğu germ hücreli tümörlerdir bu olgularda konzervatif cerrahi uygulanabilir. Bu yazıda gebelikte görülen adneksiyel kitleye yaklaşım tanıda karşılaşılan güçlükler, tedavi yöntemi ve zamanlamasından bahsedilmiş, ayrıca kliniğimizde gebelikte saptadığımız 27 adneksiyel kitlenin analizi literatür eşliğinde yapılmıştır.

Kaynakça

  • I. Hess LW, Peaceman A, Obrien WF, Winkel CA, Cruikshank DP, Morris JC. Adnexal mass occuringwith intrauterine pregnancy. AmJObstet Gynecol 1988; 158:102-109
  • 2 Kumarı I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review.Aust N Z J Obstet Gynaecol 2006 Feb;46(l):52-54
  • 3.PlatekDN, Henderson CE, Goldberg GL. The management of a persistent adnexal mass in pregnancy. Am J Obstet Gynecol 1995; 173: 1236-1241
  • 4. Thanton C, Wells M,. Ovarian cyst in pregnancy. Obstet Gynecol 1987; 69: 717-719
  • 5. Kohler MF. The adnexal mass in pregnancy
  • Postgrad Obstet Gynecol 1994;14: 1-4
  • 6. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 7. ChittacharoenA, Wanqpusayavisut A, O- Prasertsawat P Adnexal masses in pregnancy. J MedAssoc Thai. 2005 Oct;88 Suppl 2.S37-40
  • 8. Dgani R, Schwartz Z, Atar E, Zosme A, Lancet A. Ovarian cancer during pregnancy. Gynecol Oncol 1989; 33: 326-329
  • 9. Wheler TC, Fleischer AC. Complex adnexal mass in pregnancy, predictive value of color doppler sonograpy. J Ultrasound Med, 1997; 16: 425-428
  • 10. Curtis M, Hopkins MP, Zarlingo T, Martino C. Magnetic resonance imaging to avoid lapa?'atomy in pregnancy. Obstet Gynecol 1993; 82: 833-836
  • II. Bahador A, Lowe MP, Cheng J, Roman LD
  • Gynecologic cancer in pregnancy, In: Gerhenson DM, Me Guire WP,ed. Gynecologic cancer controversies in management, Philedelphia Elsevier 1994:921 12. Bromley B, BenacerrafB. Adnexal masses during pregnancy. J Ultrasound Med. 1997 Jul;16(7):447-52
  • 13. Hogston P, Lilford RJ. Ultrasound study of ovarian cysts in pregnancy, prevelance and significance. BrJObstet Gynecol 1986; 83: 625- 628
  • 14. Whitecar MP, Turner S, HigbykMK. Adnexal masses in pregnancy: A review of 130 cases uundergoing surgical management. Am J Obstet Gynecol 1999 Jul;181(1):19-24
  • 15. Sekmeler KM, Mayo-Smith WW, PeipertJF, Weitsen S, Manuel MD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol 2005 May; 105(5 Pt l):1098-1103
  • 16. StruykAP, Treffers PE. Ovarian tumors in pregnancy. Acta Obstet Gynecol Scand 1984;63(5):421-4
  • 17. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series
  • Eur J Obstet GynecolReprod Biol. 2003 Jun 10;108(2):217-222
  • 18. Ribic-Pucelj M, Kobal B, Peternelj-Marinsek S. Surgical treatment of adnexal masses in pregnancy: indications, surgical approach and pregnancy outcome. J Reprod M. 2007 Apr; 52(4): 273-9
  • 19. Parker WH, Childres JM, Canis M
  • Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol, 1996 May; 174(5): 1499-501
  • 20. Ready MB, Galon EL, Richars WE
  • Laparoscopy during pregnancy: a survey of laparo-endoscopic sur gens. J Reprod Med 1997; 42: 33-36
  • 21. Yuen PM, Ng PS, Leung PL, Rogers PS
  • Outcome in laparoscopic management of persisitent adnexal masses during the second trimester of pregnancy. Surg Endosc. 2004 Sep;18(9):1354-7. Epub 2004 May 28 22. Liu JR, Lilja JF, Johnson C. Adnexal masses and ovarian cancers in pregnancy, In: Trimble EL, Trimble CL, ed. Cancer Obstetrics and Gynecology, Philadelphia, Lippincott Williams &Wilkins, 1999:239 23. Reynosa EE, SheperdFA, Messner HA. Acute leukemia in pregnancy, he Toronto Leukemia Study Group experience with long-term follow- up of childre n exposed in utero to chemotherapeutic agents. J Clin Oncol. 1987 Jul;5(7):1098-106.
  • 24. Karlen JR Akbari A, Cook WA
  • Dysgerminoma associated with pregnancy. Obstet Gynecol. 1979 Mar; 5 3 (3): 3 30-5
  • 25. Bayhan G, Aban M, Yayla M. Cis-platinium combination chemotherapy during pregnancy for mucinous cystadenocarcinocarcinoma of the ovary. Eur J Gynaecol Oncol. 1999;20(3):231- 2
  • 26. Henderson CE, Giovanni E, Garfunkel D
  • Platinium chemotherapy during pregnancy for serous cystadenocarcinoma of the ovary. Gynecol Oncol. 1993 Apr;49(l):92-4
  • 27. Otton G, Higgins S, Phillips KA. A case of early stage epithelial ovarian cancer in pregnancy. IntJ Gynecol Cancer. 2001 Sep-Oct;ll(5):413-7.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Samet TOPUZ Bu kişi benim


Ahmet Cem İYİBOZKURT Bu kişi benim


Süleyman Engin AKHAN Bu kişi benim


Sinan BERKMAN Bu kişi benim


Ergin BENGİSU Bu kişi benim

Yayımlanma Tarihi 1 Mart 2008
Yayınlandığı Sayı Yıl 2008, Cilt 39, Sayı 2

Kaynak Göster

Bibtex @ { zktipb236911, journal = {Zeynep Kamil Tıp Bülteni}, issn = {1300-7971}, eissn = {2148-4864}, address = {}, publisher = {Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH}, year = {2008}, volume = {39}, pages = {55 - 61}, doi = {10.16948/zktb.63698}, title = {Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi}, key = {cite}, author = {Topuz, Samet and İyibozkurt, Ahmet Cem and Akhan, Süleyman Engin and Berkman, Sinan and Bengisu, Ergin} }
APA Topuz, S. , İyibozkurt, A. C. , Akhan, S. E. , Berkman, S. & Bengisu, E. (2008). Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi . Zeynep Kamil Tıp Bülteni , 39 (2) , 55-61 . Retrieved from https://dergipark.org.tr/tr/pub/zktipb/issue/22066/236911
MLA Topuz, S. , İyibozkurt, A. C. , Akhan, S. E. , Berkman, S. , Bengisu, E. "Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi" . Zeynep Kamil Tıp Bülteni 39 (2008 ): 55-61 <https://dergipark.org.tr/tr/pub/zktipb/issue/22066/236911>
Chicago Topuz, S. , İyibozkurt, A. C. , Akhan, S. E. , Berkman, S. , Bengisu, E. "Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi". Zeynep Kamil Tıp Bülteni 39 (2008 ): 55-61
RIS TY - JOUR T1 - Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi AU - Samet Topuz , Ahmet Cem İyibozkurt , Süleyman Engin Akhan , Sinan Berkman , Ergin Bengisu Y1 - 2008 PY - 2008 N1 - DO - T2 - Zeynep Kamil Tıp Bülteni JF - Journal JO - JOR SP - 55 EP - 61 VL - 39 IS - 2 SN - 1300-7971-2148-4864 M3 - UR - Y2 - 2021 ER -
EndNote %0 Zeynep Kamil Tıp Bülteni Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi %A Samet Topuz , Ahmet Cem İyibozkurt , Süleyman Engin Akhan , Sinan Berkman , Ergin Bengisu %T Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi %D 2008 %J Zeynep Kamil Tıp Bülteni %P 1300-7971-2148-4864 %V 39 %N 2 %R %U
ISNAD Topuz, Samet , İyibozkurt, Ahmet Cem , Akhan, Süleyman Engin , Berkman, Sinan , Bengisu, Ergin . "Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi". Zeynep Kamil Tıp Bülteni 39 / 2 (Mart 2008): 55-61 .
AMA Topuz S. , İyibozkurt A. C. , Akhan S. E. , Berkman S. , Bengisu E. Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi. Zeynep Kamil Tıp Bülteni. 2008; 39(2): 55-61.
Vancouver Topuz S. , İyibozkurt A. C. , Akhan S. E. , Berkman S. , Bengisu E. Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi. Zeynep Kamil Tıp Bülteni. 2008; 39(2): 55-61.
IEEE S. Topuz , A. C. İyibozkurt , S. E. Akhan , S. Berkman ve E. Bengisu , "Gebelikte adneksiyel kitleye yaklaşım: 27 olgunun analizi ve literatürün gözden geçirilmesi", Zeynep Kamil Tıp Bülteni, c. 39, sayı. 2, ss. 55-61, Mar. 2008, doi:10.16948/zktb.63698