Clinical Analysis Of106Cases With Ovarian Tumors And Tumor-like Lesions Of Pregnancy

Objective To investigate the diagnosis method and pathology types and pregnancyoutcomes with ovarian tumors and tumor-like lesions in pregnancy，in order to guidethe clinical diagnosis and treatment of that.Methods A retrospective analysis of106cases of pregnant women with ovariantumor and tumor-like lesions in our hospital from January2009to December2012,according to the way of delivery, divided into vaginal delivery group (group A) andcesarean group (group B); according to the diagnostic method, divided into ultrasoundgroup (group A+B1) and intraoperative diagnosis group (B2group). Further more, theB group was divided into antepartum diagnosis group (group B1) and intraoperativediagnosis group (group B2) on the basis of pregnancy ultrasound examination results.The diagnosis and sizes of ovarian tumors during pregnancy in group A were analyzed.The ultrasound diagnosis in group B1, ovarian tumor size through surgical explorationand pathological diagnosis in group B1and B2were analyzed. The diagnosis timeand change of tumor size in ultrasound group (group A+B1) were analyzed.Results The pregnant women with ovarian tumor and tumor-like lesions accountedfor0.72%of total labor number. There were altogether63cases (59.43%) in groupB1,of which15cases diagnosed in preconception,32cases diagnosed in earlypregnancy,11cases diagnosed in second trimester, and5cases diagnosed in thirdtrimester. At the same time, there were43cases in group B(40.57%).According to thepathological types, was the most common (35.96%), then the mature cystic teratoma(24.72%), ovarian corpus luteum cyst (10.11%), mucinous cystadenoma (7.87%).Inall cases,17cases were vaginal delivery, relatively89cases were cesarean;104caseswere single birth, relatively2cases were twin pregnancy;100cases were full-term,relatively6cases were premature delivery;6cases were neonatal, and1case wasstillbirth.Conclusion The vast majority of ovarian tumors and tumor-like lesions in pregnancy is benign，ovarian endometriosis is common in ovarian tumors diagnosedduring pregnancy. Ultrasound can diagnose ovarian tumors but is localized during thefirst and the second trimesters, and it is necessary to explorate bilateral adnexal duringcesarean section.