KUMJ | VOL. 22 | NO. 4 | ISSUE 88 | OCTOBER. - DECEMBER. 2024
Pregnancy Complicated by Ovarian Cysts
Shakya S, Shrestha A, Lama S
Abstract: The incidence of adnexal masses during pregnancy varies between 0.2% and
2%, with the majority of these tumors being benign and a 1% to 6% chance of
malignancy. Due to widespread use of ultrasound during the first trimester, it is
quite common to detect incidental ovarian cysts. Once a tumor is identified, the
primary goal is to determine whether it is benign or malignant. The ultrasound
feature helps to determine that with a minimal help with the tumor markers, as it
is altered due to pregnancy. Then, the next step is to decide if surgical intervention
is necessary. If surgery is required, it is important to determine the safest time to
perform it and whether to opt for laparotomy or laparoscopy. We present two
case reports of pregnancies with ovarian cysts, both diagnosed incidentally, with
the timing of the operation chosen based on the cyst type, size, symptoms, and
gestational age.
Keyword : Gravidity, Mucinous cystadenoma, Ovarian cyst, Pregnancy maintenance