Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Single Gynecological Ultrasound Center
Matteo Bruno,
Giulia Capanna,
Veronica Stanislao,
Raffaella Ciuffreda,
Sara Tabacco,
Ilaria Fantasia,
Christian Di Florio,
Guglielmo Stabile,
Angela D’Alfonso,
Maurizio Guido,
Manuela Ludovisi
Affiliations
Matteo Bruno
Department of Obstetrics and Gynecology, San Salvatore Hospital, 67100 L’Aquila, Italy
Giulia Capanna
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Veronica Stanislao
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Raffaella Ciuffreda
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Sara Tabacco
Department of Obstetrics and Gynecology, San Salvatore Hospital, 67100 L’Aquila, Italy
Ilaria Fantasia
Department of Obstetrics and Gynecology, San Salvatore Hospital, 67100 L’Aquila, Italy
Christian Di Florio
Department of Obstetrics and Gynecology, San Salvatore Hospital, 67100 L’Aquila, Italy
Guglielmo Stabile
Department of Obstetrics and Gynecology, Institute for Maternal and Child Health—IRCCS “Burlo Garofolo”, 34137 Trieste, Italy
Angela D’Alfonso
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Maurizio Guido
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Manuela Ludovisi
Department of Clinical Medicine Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
(1) Background: The number of adnexal masses detected during pregnancy has increased due to the use of first-trimester screening and increasingly advanced maternal age. Despite their low risk of malignancy, other risks associated with these masses include torsion, rupture and labor obstruction. Correct diagnosis and management are needed to guarantee both maternal and fetal safety. Adnexal masses may be troublesome to classify during pregnancy due to the increased volume of the uterus and pregnancy-related hormonal changes. Management should be based on ultrasound examination to provide the best treatment. The aim of this study was to describe the ultrasound features of ovarian masses detected during pregnancy and to optimize and personalize their management with the expertise of gynecologists, oncologists and sonographers. (2) Methods: Clinical, ultrasound, histological parameters and type of management (surveillance vs. surgery) were retrospectively retrieved. Patient management, perinatal outcomes and follow-up were also evaluated. (3) Results: according to the literature, these masses are most frequently benign, ultrasound follow-up is the best management, and obstetric outcomes are not considerably influenced by the presence of adnexal masses. (4) Conclusions: the management of patients with ovarian masses detected during pregnancy should be based on ultrasound examination, and a centralization in referral centers for ovarian masses should be considered.
