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Cystic Masses During Pregnancy: What Is the Optimal Management?
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Author(s): Christos Chatzakis (2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece)and Alexandros Sotiriadis (2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece)
Copyright: 2021
Pages: 19
Source title:
Handbook of Research on Oncological and Endoscopical Dilemmas in Modern Gynecological Clinical Practice
Source Author(s)/Editor(s): Konstantinos Dinas (2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece), Stamatios Petousis (2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece), Matthias Kalder (Department of Obstetrics and Gynaecology, Philipps-University of Marburg, Germany)and George Mavromatidis (2nd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Greece)
DOI: 10.4018/978-1-7998-4213-2.ch017
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Abstract
The prevalence of cystic masses in pregnancy varies from 0.1 to 2.4% and approximately 1 to 6% of these masses are malignant. The clinical presentation of cystic masses in pregnancy varies widely. The majority of cystic masses identified in pregnancy are benign simple cysts less than 5mm in diameter. Malignant neoplasms may be developed, and it is of paramount importance for the attending physician to be able to identify them. Ultrasonography is an excellent tool for the detection of cystic masses and for the discrimination between benign and malignant masses. IOTA group has proposed simple ultrasound rules in order to distinguish between benign and malignant cystic masses. In some cases where there is uncertainty about the type of mass, the MRI has high diagnostic value. Tumor markers that used in epithelial and nonepithelial cancers in nonpregnant women are difficult to interpret in pregnancy, because they are involved in biological functions associated with fetal development, differentiation, and maturation.
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