THE STUDY OF ADNEXAL MASSES IN PREGNANCY AT TERTIARY CENTER

Abstract

BACKGROUND: Adnexal masses occur frequently during the reproductive age and during pregnancy. The management of adnexal masses during pregnancy presents a difficult clinical decision.The abdominal surgery during pregnancy is risky to the mother and the foetus. On contrary, conservative management may result in the spread of cancer or serious complication such as the torsion or rupture of ovarian cysts. METHODS:In observational study, 42 cases of adnexal masses in pregnancy were studied. These patients were evaluated with the respect to their size,tumor markers,histopathological report gestational age,and Perinatal outcome and treatment. RESULT: In present study 38 % patients were between the age of 25-30 years. It was seen commonly in multiparous women. It was commonly observed in second trimester,.40% cases were found to have adnexal mass between 6-10 cm. CA-125 was estimated for 30 patients in present study most commonly found adnexal mass was mucinous adenoma and dermoid cyst CONCLUSION:Majority of the adnexal masses are benign in nature.Dermoid cyst and mucinous cyst adenomas are the most common pathology foundin adnexal masses in pregnancy. Operative management for adnexal massis safe and hence most commonly performedin second trimester.