RESUMEN
AIM: To study the outcome of cases of incidental adnexal masses detected during cesarean section. METHODS: A total of 126 093 live births and 39 115 cesarean deliveries performed between 2002 and 2008 were retrospectively evaluated and cases with additional adnexal masses and surgical interventions were included in the study. Histopathologic assessment and related outcomes were examined. RESULTS: One hundred and nineteen patients had incidental adnexal masses at the time of cesarean delivery; the incidence of adnexal masses was 1/329. The most common histopathologic diagnoses were mature cystic teratoma (32%) and functional cysts (26%). Six cases (5%) were bilateral. The mean cyst size was 6.4 cm; two of the masses were malignant. CONCLUSION: Incidental masses detected at the time of cesarean section should be extirpated in order to exclude the possibility of malignancy and to avoid additional surgical procedures following cesarean section.
Asunto(s)
Enfermedades de los Anexos/cirugía , Cesárea , Hallazgos Incidentales , Complicaciones Neoplásicas del Embarazo/cirugía , Enfermedades de los Anexos/patología , Femenino , Humanos , Embarazo , Complicaciones Neoplásicas del Embarazo/patología , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
We report a case of mucinous adenocarcinoma arising from mature cystic teratoma (MCT) of the ovary ascertained incidentally during pregnancy. An ovarian adnexal mass was seen in a 38-year-old pregnant woman during cesarean section. Oophorectomy revealed a mucinous adenocarcinoma arising from MCT with additional capsule invasion. Following this, staging procedures were applied. The patient was staged as IC and adjuvant chemotherapy was applied. She has remained disease-free for over 24 months. To our knowledge, this is a case of mucinous adenocarcinoma arising from MCT and the third case of malignant transformation from MCT in pregnancy in English literature.
Asunto(s)
Adenocarcinoma Mucinoso/patología , Neoplasias Ováricas/patología , Complicaciones Neoplásicas del Embarazo/patología , Teratoma/patología , Adulto , Femenino , Humanos , EmbarazoRESUMEN
We report a case of schizencephaly diagnosed prenatally at 23 weeks of gestational age with two-dimensional (2D) and three-dimensional (3D) sonography and fetal brain MRI, confirmed by autopsy. The diagnostic method of choice is 2D transabdominal and transvaginal sonography, whereas additional 3D sonography and MRI may provide a better understanding of the pathology and related findings.