March 2007 · Vol. 19, No. 03A guide to management: Adnexal masses in pregnancy
Forego surgery in most cases until delivery—or until the risky first trimester has passed
|
Fast Track
The serum CA-125 level is typically elevated during the first trimester, but may be useful for assessment later in pregnancy
Some ovarian cancers may present acutely, such as a rapidly growing germ-cell tumor or a ruptured and hemorrhaging granulosa-cell tumor
During the first and second trimesters, laparoscopy is as safe as laparotomy
In general, if malignancy is suspected, a vertical incision is preferred
|
|
Mitchel
S.
Hoffman,
MDProfessor and Director, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, Fla Robyn
A.
Sayer,
MDAssistant Professor, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, Fla
|
