Journal of International Reproductive Health/Family Planning ›› 2021, Vol. 40 ›› Issue (2): 167-171.doi: 10.12280/gjszjk.20200321

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Progress in Diagnosis and Treatment of Pregnancy Associated with Ovarian Tumors

XIN Yu-qi, WANG Xiao-hui()   

  1. The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China (XIN Yu-qi); Key Laboratory of Gynecological Oncology of Gansu Province, Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Lanzhou 730000, China (WANG Xiao-hui)
  • Received:2020-06-08 Published:2021-03-15 Online:2021-03-24
  • Contact: WANG Xiao-hui E-mail:xiaohuiwang2015@163.com

Abstract:

Pregnancy associated with ovarian tumors (POT) is one of the most complications of pregnancy. With the application of ultrasound in prenatal examination, more and more POT has been diagnosed during pregnancy. POT is mostly a functional cyst that discovered by chance during pregnancy and resolved spontaneously. The incidence of malignant POT is 1%-6%, among which disgerminoma is the most common. Most of POT have no specific clinical symptoms, while a few of POT can rupture, twist and so on with acute abdomen. There are various clinical diagnosis methods. Ultrasound examination is usually the first choice for imaging examination. Tumor markers can help to assess the potential malignant risk. At present, there is no standardized diagnosis and treatment guideline of POT. Both maternal and fetal factors should be taken into consideration in treatment. Clinicians should make the individual plan for each POT patient according to her gestational week, tumor type, disease stage, etc. Due to the advantages of less bleeding and faster recovery, laparoscopic surgery is preferred. This article reviews the progress of POT diagnosis and treatment in order to provide reference for clinical work.

Key words: Pregnancy, Pregnancy complications,neoplastic, Ovarian neoplasms, Diagnosis, Therapy