Clinical Analysis of 116 Cases of Pregnancy Complicated with Ovarian Mass

Abstract

Objective：To collect and analyze the basic data, clinical features, pathological results and pregnancy outcomes of patients with pregnancy complicated with adnexal masses, and provide evidence for clinical treatment of patients with pregnancy complicated with adnexal masses.Methods：From January 2020 to May 2023, a total of 116 pregnant women with adnexal masses diagnosed by surgery and pathology in the Department of Obstetrics and Gynecology of the Second Affiliated Hospital of Xi'an Jiaotong University were selected. Relevant clinical data were collected for retrospective analysis and statistical test. Results：The age of 116 patients with adnexal masses confirmed by surgery and pathology ranged from 17 to 41, with an average age of 30.9±4.1 years. There were 56 cases (48.28%) ofpregnancy complicated with ovarian physiologic cysts, and the pathological types were: luteal cysts in 34 cases, simple cysts in 17 cases,follicular cysts in 4 cases and luteal tumor in pregnancy in 1 case. There were 60 benign ovarian masses (51.72%), and the pathologicaltypes were as follows: mature cystic 0cases, fibromatoid hyperplasia in 4 cases, ovarian endometriosis cyst in 12 cases, and other types in 2cases. There were 62 cases (53.45%) on the left side, 45 cases (38.79%) on the right side, and 9 cases (7.76%) on both sides. The diameterof ovarian tumor ranged from 1 to 12cm, with an average diameter of 5.6±2.6cm. There were 50 cases (43.10%) in the < 5cm group, 59cases (50.86%) in the 5-10cm group, and 7 cases (6.03%) in the ≥10cm group. Torsion of ovarian masses was observed in 9 cases (7.76%),of which 8 cases had cysts with diameter of 5~10cm, and the composition ratio was 88.89%. There were no significant differences in thediameter and location of physiologic ovarian masses compared with benign ovarian masses (P > 0.05). The pregnancy outcome of 116pregnant patients with ovarian tumor was 110 (94.83%) full-term delivery and 6 (5.17%) premature delivery. Conclusion：The pathological characteristics of adnexal masses in pregnancy are mainly physiologic cysts and benign tumors, luteal cysts and simple cysts are more common in physiologic cysts, and mature cystic teratoma is more common in benign tumors. There was no difference in the diameter and location of physiologic ovarian masses compared with benign ovarian masses. The left side was more common than the right side, and the diameter of the masses generally did not exceed 10cm. Among them, the ovarian masses with a diameter of 5-10cm were the most prone to pedicle torsion. The pregnancy outcome of patients with ovarian tumor is good, and most of them can continue to term delivery.