PERINATAL ASSISTANCE TO PREGNANT WOMEN WITH FIRST TIME IDENTIFIED BENEFICIAL OVARIAN CYST (OVERVIEW OF SCIENTIFIC WORKS)

Abstract

The article presents a review of scientific works on problems of perinatal care for pregnant women with first-time benign ovarian tumors during this pregnancy. Our interest in these issues is due to the increasing frequency of detection of benign ovarian neoplasms during pregnancy in Ukraine. Diagnosis of ovarian neoplasms during pregnancy is aimed at establishing the nature of this formation (benign or malignant) in order to develop individual tactics for managing this pregnancy. The review of the scientific literature describes the frequency with which ovarian cysts occur during pregnancy and their possible varieties. The histological classification of neoplasms and ovarian cysts is one of the most important because it reflects the understanding of pathogenesis, molecular genetic and biological features of each pathology. Diagnosis and verification of ovarian cysts on the background of pregnancy is a difficult task, since there are limitations in the application of the necessary diagnostic methods, the pathology is characterized by asymptomatic course or clinical manifestations. Possible variants of the diagnostic examination are presented and described in detail, which includes ultrasound examination and magnetic resonance imaging with intravenous amplification. Ovarian cysts are usually diagnosed accidentally in the first trimester of pregnancy. Sonographic examination in early pregnancy increased the incidence of cystic ovarian lesions. The timing of surgery and its possible options: laparoscopic or laparotomy are detailed. The advantages and disadvantages of both options are given. All of the above dictates the need for adherence to the principle of multidisciplinarity and continuity between gynecologists, oncologists, and family physicians in managing this contingent of patients, with a view to timely detection and adequate surgical treatment of neoplasms.