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      Adnexal masses and pregnancy: a 12-year experience.

      American Journal of Obstetrics and Gynecology
      Abortion, Spontaneous, epidemiology, Adnexal Diseases, pathology, Adolescent, Adult, Apgar Score, Cystadenoma, Female, Gestational Age, Humans, Incidence, Infant, Newborn, Infant, Premature, Neoplasm Staging, North Carolina, Ovarian Cysts, Pregnancy, Pregnancy Complications, Neoplastic, Retrospective Studies, Teratoma

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          Abstract

          Our purpose was to describe pregnancy-associated adnexal masses in eastern North Carolina. A retrospective study was performed of 60 adnexal masses resected during pregnancy at a regional referral hospital from January 1990 to March 2002. Adnexal masses occurred in 0.15% of pregnancies. Average gestational age at diagnosis and surgery was 12 and 20 weeks, respectively. Fifty percent of ovarian tumors were mature cystic teratomas, 20% were cystadenomas, and 13% were functional ovarian cysts. Malignancy occurred in 13%. Tumors with low malignant potential comprised 63% of malignancies. Average cyst size was 11.5 cm for malignancies and 7.6 cm for benign lesions (P value <.05). The preterm birth rate was 9%, the miscarriage rate was 4.7% after elective cases, and average Apgar scores were 7.5 and 8.7 at 1 and 5 minutes. The incidence of malignancy in pregnancy-associated adnexal masses was high. Ultrasonography detected internal excrescences in the majority of tumors with low malignant potential. Fetal outcomes were not affected.

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