Comparison of Adnexal Mass in Women Undergoing Mass Excision During the Antepartum Period and Cesarean Section
Journal Title: Oman Medical Journal - Year 2016, Vol 31, Issue 3
Abstract
Objectives: The frequency of adnexal masses in pregnant women ranges from 0.1% to 4%. Selecting the right approach to manage the subsequent intervention remains one of the most controversial challenges among gynecologists. Our aim in this cross-sectional study was to clarify the clinical-pathological differences among the adnexal masses that are excised during either the antepartum period or cesarean section (CS). Methods: In this study, we assessed 11,000 pregnancy cases referred to the Qaem Hospital in the Mashhad University of Medical Sciences, Iran, between 2010 and 2014. In total, 53 pregnant women with adnexal masses (other than non-gynecological mass and ectopic pregnancy) were selected for further investigation. We divided patients into two groups (group A and group B). Patients of group A had a diagnosed tumor that was excised antepartum while patients in group B had a mass taken out during CS. We then assembled data based on maternal age, parity, gestational age, surgery type, delivery mode, size and location of the tumor, complications, presentations, histopathological diagnosis, and ultrasonography findings for further analysis. Results: The major proportion of masses (62.3%) were excised during CS whereas the remainder (37.7%) were removed antepartum. The mean size of the detected tumor for benign and malignant cases was 10.0 cm and 13.8 cm in group A, and 8.0 cm and 9.3 cm in group B, respectively. There was a statistically significant difference observed between patients in the two groups regarding the benign/malignant status of the mass (p = 0.008), its size (p = 0.019) and simplicity/complexity (p = 0.004). Conclusions: The rate of malignant tumors was considerably higher in women who had antepartum mass excision compared to those with mass resection during CS. Also, tumors were larger (and more complex) in patients in group A compared to group B.
Authors and Affiliations
Nafiseh Saghafi, Zohreh Yousefi Roodsary, Sima Kadkhodaeian, Maliheh Hasanzadeh Mofrad, Elham Hosseini Farahabadi, Mohammadreza Hoseinyfarahabady
Keywords
Related Articles
- EP ID EP101469
- DOI 10.5001/omj.2016.41
- Views 85
- Downloads 0
Aneurysm in a Large Sporadic Renal Angiomyolipoma
Angiomyolipomas (AMLs) are the most common mesenchymal renal neoplasms and are classified as neoplasms of perivascular epithelioid cells (PEComa). AML is usually a benign neoplasm arising most often in the kidney althoug...
Primary Health Care in Oman: Shaping the Future
The success of any health care system in any part of the world depends entirely on the strength and reliability of its primary health care (PHC) system. It is the first portal of entry for patients to the health care sys...
Large Gastric Teratoma: A Rare Intra-abdominal Mass of Infancy
Amongst the varied, diverse causes of intraabdominal masses in infancy and early childhood, gastric teratomas (GTs) account for a very small proportion. A worldwide literature search reveals only around one hundred cases...
http://omjournal.org/articleDetails.aspx?coType=1&aId=2430
Pre-analytical quality in clinical chemistry testing is as important as analytical and post-analytical quality. The most prevalent pre-analytical interference and a major source of error producing unreliable laboratory t...
A Simple Technique of Inserting an Intra-Abdominal Drain in Laparoscopic Surgery
Objectives: We describe a simple technique for introducing any size of intra-abdominal drain in laparoscopy through a 3.5 mm portside without any of the drawbacks of other techniques practiced...