CISTADENOMA OVARIANO MUCINOSO DE GRANDE VOLUME E GRAVIDEZ: RELATO DE CASO
DOI:
https://doi.org/10.24265/horizmed.2025.v25n2.14Palavras-chave:
cistadenoma mucinoso, gravidez, ultrassomResumo
Massas anexiais durante a gravidez são raras e as de grande volume são ainda mais raras. A maioria é benigna e se resolve espontaneamente. Ressalta-se que o uso da ultrassonografia tem aumentado o diagnóstico e pode diferenciar a morfologia dessas massas, orientando o manejo; O tratamento cirúrgico estará indicado nas massas sintomáticas, persistentes, de grande tamanho ou com características de malignidade. É relatado o caso de um grande cistadenoma ovariano com excisão às 19 semanas de gestação com boa evolução materna e perinatal.
Downloads
Referências
Mcminn E, Schwartz N. Adnexal Masses in Pregnancy. Clin Obstet Gynecol [Internet]. 2020;63(2):392–404.
Sherard GB, Hodson CA, Williams HJ, Semer DA, Hadi HA, Tait DL. Adnexal masses and pregnancy: a 12-year experience. Am J Obstet Gynecol [Internet]. 2003;189(2):358–62.
Koo YJ, Kim TJ, Lee JE, Kwon YS, Kim HJ, Lee IH, et al. Risk of torsion and malignancy by adnexal mass size in pregnant women. Acta Obstet Gynecol Scand [Internet]. 2011;90(4):358–61.
Balci O, Gezginc K, Karatayli R, Acar A, Celik C, Colakoglu MC. Management and outcomes of adnexal masses during pregnancy: A 6-year experience. J Obstet Gynaecol Res [Internet]. 2008;34(4):524–8.
Aggarwal P, Kehoe S. Ovarian tumours in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol [Internet]. 2011;155(2):119–24.
Zanetta G, Mariani E, Lissoni A, Ceruti P, Trio D, Strobelt N, et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. BJOG Int J Obstet Gynaecol [Internet]. 2003;110(6):578–83.
Hoover K, Jenkins TR. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol [Internet]. 2011;205(2):97–102.
Yen CF, Lin SL, Murk W, Wang CJ, Lee CL, Soong YK, et al. Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertil Steril [Internet]. 2009;91(5):1895–902.
Canavan TP. Sonographic Tips for Evaluation of Adnexal Masses in Pregnancy. Clin Obstet Gynecol [Internet]. 2017;60(3):575–85. 10. Lee SJ, Oh HR, Na S, Hwang HS,
Lee SM. Ultrasonographic ovarian mass scoring system for predicting malignancy in pregnant women with ovarian mass. Obstet Gynecol Sci [Internet]. 2022;65(1):1–13.
Rabiej-Wronska E, Wiechec M, Pitynski K, Wiercinska E, Kotlarz A. Ultrasound differentiation between benign versus malignant adnexal masses in pregnant patients. Ginekol Pol [Internet]. 2022;93(8):643–9.
Alalade AO, Maraj H. Management of adnexal masses in pregnancy. Obstet Gynaecol [Internet]. 2017;19(4):317–25.
Shetty MK. Abdominal Computed Tomography During Pregnancy: A Review of Indications and Fetal Radiation Exposure Issues. Semin Ultrasound CT MR [Internet]. 2010;31(1):3–7.
Sarandakou A, Protonotariou E, Rizos D. Tumor Markers In Biological Fluids Associated With Pregnancy. Crit Rev Clin Lab Sci [Internet]. 2007;44(2):151–78.
Mancuso A, Broccio G, Angio LG, Pirri V. Adnexal torsion in pregnancy. Acta Obstet Gynecol Scand [Internet]. 1997;76(1):83–4.
Yacobozzi M, Nguyen D, Rakita D. Adnexal Masses in Pregnancy. Semin Ultrasound CT MR [Internet]. 2012;33(1):55–64.
Van Calster B, Van Hoorde K, Froyman W, Kaijser J, Wynants L, Landolfo C, et al. Practical guidance for applying the ADNEX model from the IOTA group to discriminate between different subtypes of adnexal tumors. Facts Views Vis ObGyn [Internet]. 2015;7(1):32–41.
Czekierdowski A, Stachowicz N, Smoleń A, Kluz T, Łoziński T, Miturski A, et al. Sonographic Assessment of Complex Ultrasound Morphology Adnexal Tumors in Pregnant Women with the Use of IOTA Simple Rules Risk and ADNEX Scoring Systems. Diagnostics [Internet]. 2021;11(3):414.
Acharya K, Poudel D, Dahal S, kuikel S, Adhikari A. A case of huge ovarian cyst in second trimester: A rare case report. Ann Med Surg [Internet]. 2022;82:104765.
Mishra S, Yadav M, Walawakar SJ. Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy. JNMA J Nepal Med Assoc [Internet]. 2018;56(210):629–32.
Villafán-Cedeño L, Vega-Malagón G, Rivera M, Romo-Rodríguez MR, Becerril-Santos A. Cistoadenoma seroso gigante de ovario y embarazo a término. Reporte de un caso. Clin Invest Gin Obst [Internet]. 2015;42(4):180–2.
Dessole S, Capobianco G, Milia L, Cherchi PL. Giant ovarian tumor complicating late pregnancy: A case report. Acta Obstet Gynecol Scand [Internet]. 2001;80(7):665–7.
Agah J, Davari Sani SJ, Salmani K. A Giant Ovarian Serous Cystadenoma in Pregnancy: A Case Report. J Midwifery Reprod Health [Internet]. 2018;6(4):1486–90.
Didar H, Najafiarab H, Keyvanfar A, Hajikhani B, Ghotbi E, Kazemi SN. Adnexal torsion in pregnancy: A systematic review of case reports and case series. Am J Emerg Med [Internet]. 2023;65:43–52.
Zou G, Xu P, Zhu L, Ding S, Zhang X. Comparison of subsequent pregnancy outcomes after surgery for adnexal masses performed in the first and second trimester of pregnancy. Int J Gynecol Obstet [Internet]. 2019;148(3):305–9.
Goh WA, Rincon M, Bohrer J, Tolosa JE, Sohaey R, Riaño R, et al. Persistent ovarian masses and pregnancy outcomes. J Matern Fetal Neonatal Med [Internet]. 2013;26(11):1090–3.
Oprescu ND, Ionescu CA, Drăgan I, Fetecău AC, Said-Moldoveanu AL, Chirculescu R, et al. Adnexal masses in pregnancy: perinatal impact. Rom J Morphol Embryol [Internet]. 2018;59(1):153–8.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 1970 Horizonte Médico (Lima)
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os resultados de pesquisa da revista Horizonte Médico (Lima) (Horiz. Med.) são publicados sem custo e estão disponíveis gratuitamente para download sob o modelo de acesso aberto, com o objetivo de disseminar trabalhos e experiências desenvolvidos nas áreas biomédica e de saúde pública, tanto nacional quanto internacionalmente, e promover a pesquisa nos diferentes campos da medicina humana. Todos os manuscritos aceitos e publicados na revista são distribuídos gratuitamente sob os termos de uma licença Creative Commons - Atribuição 4.0 Internacional (CC BY 4.0).
