How to deal with ovarian tumor during pregnancy? Should I give up the fetus?

time:2023-02-07 author:Baby bones
How to deal with ovarian tumor during pregnancy? Should I give up the fetus?

Ovarian tumor, as one of the most common tumors in gynecology, may occur in women of all ages, and pregnancy is no exception. If an ovarian tumor is unfortunately discovered during pregnancy, expecting mothers will surely have all kinds of worries and doubts. For example, will it affect the fetus? What kind of treatment is needed? If the operation is performed, will the fetus not be saved, and so on? It's normal for pregnant mothers to have these worries, but don't be too anxious. Ovarian tumors during pregnancy mostly occur in the first trimester, with a lower incidence in the second and third trimesters, and occasionally occur postpartum. However, the etiology of ovarian tumors is still unclear. Patients with ovarian tumors during pregnancy basically have no specific clinical manifestations, and most of them are discovered accidentally during routine ultrasonography or cesarean section. However, although ovarian tumors during pregnancy are difficult to detect in advance, there are still some symptoms. For example, in the case of large ovarian tumors, it will cause abdominal distension and abdominal pain, lower back pain, constipation, frequent urination and other symptoms; a small number of ovarian tumors suddenly twist or rupture, which will cause severe abdominal pain, accompanied by nausea and vomiting. But the trouble is, these symptoms are likely to be mistaken for various uncomfortable reactions during pregnancy, and thus be ignored, so if you have the above symptoms for a long time during pregnancy, try to go to the hospital for examination in advance.

What are the classifications of ovarian tumors during pregnancy?

Ovarian tumors are divided into three categories: ovarian physiologic cysts, benign ovarian tumors and ovarian malignant tumors. In patients with ovarian tumors, ovarian physiologic cysts and benign tumors are the most common. Physiological ovarian cysts mainly include follicular cysts, corpus luteum cysts, flavin cysts and ovarian hyperstimulation syndrome; benign ovarian tumors mainly include mature teratoma serous cystadenoma, mesosalpinx cyst and endometrioma cyst, etc.; Ovarian malignancies include germ cell tumors, epithelial tumors, and sex cord-stromal tumors.

How to determine whether ovarian tumors during pregnancy are benign or malignant?

From the classification of ovarian tumors during pregnancy, we can know that there are benign and malignant ovarian tumors during pregnancy. But how to judge? The most scientific and accurate way is to send the tumor tissue to the pathology department for examination and confirmation. Don't make random guesses.

Can ovarian tumors during pregnancy affect the fetus?

Ovarian tumors during pregnancy do not affect the fetus, but they can affect the mother, especially if the tumor twists or ruptures. In addition, if the tumor is large, it is likely to block the birth canal, causing obstructive dystocia; and if the pregnant mother belongs to ovarian malignant tumor, it will threaten her life and health.

Do I need surgery for ovarian tumors during pregnancy?

Generally, ovarian tumors in the first trimester, if the tumor diameter is less than 5cm, will disappear on their own, and if there are no related adverse symptoms, basically no treatment is required. In some cases, surgery is still required, but whether surgery is required and when surgery is required depends on the symptoms of the pregnant woman, the size of the tumor, the time of discovery, and the wishes of the pregnant woman. There are several situations where surgery is recommended:
  • High suspicion of malignancy;
  • Concomitant acute abdomen (eg, torsion of a cyst) , rupture);
  • tumor diameter is greater than 10cm and persists;
  • Severe comorbidities (such as hydronephrosis) occur );
  • Assessment of tumor for obstructive birth canal.
  • Several timings for surgical treatment are recommended:
  • Second trimester is an appropriate timing for surgery;
  • To remove bilateral appendages, surgery should be done after 14 weeks of gestation;
  • For surgery before 14 weeks of gestation, exogenous supplementation of pregnancy is required Hormones;
The risk of adverse outcomes from surgery increases after 24 weeks of gestation. If there are no signs of ovarian malignancy or an acute abdomen such as torsion, rupture, and found sexual infection, close follow-up may be an option, and reassessment may be performed until 6 weeks after cesarean section or vaginal delivery.

Can surgery affect the fetus?

There are generally two types of surgical treatment for ovarian tumors during pregnancy, namely laparoscopic surgery and laparotomy. No matter what kind of surgery, the anesthesiologist will be extra cautious during the entire surgical treatment, and will choose those drugs that have little effect on the fetus and no clear teratogenic effect, and will reasonably control the anesthesia time. In general, surgical treatment of ovarian tumors during pregnancy generally does not increase the risk of fetal malformation and stillbirth, but other risks still exist. For example, prolonged operation time, prolonged supine position of pregnant women, and uterine compression of inferior vena cava may cause hypotension in pregnant women, reduce uteroplacental blood perfusion, and cause fetal distress. May induce contractions, resulting in miscarriage or premature labor. Therefore, intensive monitoring is required during and after surgery. Although the overall incidence of ovarian tumors during pregnancy is low, the prognosis is good. Therefore, if an ovarian tumor is found during pregnancy, it must be treated objectively, with examination and treatment. Compared with treatment after discovery, it is better to prevent in advance, after all, pregnancy is a joyful thing. In order to greatly reduce the probability of ovarian tumors, for women, pre-pregnancy examinations and pre-pregnancy examinations are particularly important, early detection and early treatment. Finally, I wish every pregnant mother can be healthy and healthy!
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