Enlarging ovarian cysts mimicking malignant or borderline tumors during pregnancy
作者机构：Department of Obstetrics and GynecologyPeking University People's HospitalBeijingChina
出 版 物：《Gynecology and Obstetrics Clinical Medicine》 (妇产科临床医学（英文）)
年 卷 期：2021年第1卷第4期
页 面：228-232页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
基 金：the National Key Technology R&D Program of China(2019YFC1005200 and 2019YFC1005201)
主 题：Ovarian cyst Pregnancy Pregnancy complication Endometrioma Decidualization Case report
摘 要：Background:Ovarian cysts are uncommon gestational *** of high-level progesterone,ovarian endometriomas may undergo decidualization during pregnancy,manifesting as enlarging cysts with papillae and rich blood *** cases can mimic malignant or borderline tumors,causing dilemmas in clinical ***,we present two cases of enlarging ovarian cysts during pregnancy with evidence suggesting decidualized *** diagnosis and treatment are further discussed,which add to our limited knowledge and might help future clinical *** summary:In the first case,a right ovarian cyst was detected by ultrasound in a 32-year-old pregnant *** cyst measured 4.2 cm in diameter at 7t6 weeks of gestation,and gradually increased to 9.6 cm7.6 cm5.6 cm at 37t5 weeks,with multiple solid papillae lining the inner *** cesarean section,an ovarian mass of approximately 9 cm in diameter was surgically removed,which was later identified by pathological review as an endometrioma with *** second case also presented as an enlarging ovarian mass during the first and second *** size of the cyst peaked at 24t5 weeks of gestation,measuring 6.9 cm5.6 cm4.1 *** in the third trimester,the tumor slightly *** follow-up was adopted after successful vaginal delivery,and the cyst was found to have undergone quick regression shortly after *** patients recovered well after delivery with no further ***:Endometriomas with decidualization during gestation may resemble borderline or malignant *** monitoring and proper management are essential for guiding clinical management.
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