What are the hazards of ovarian cyst combined with pregnancy

What are the dangers of ovarian cyst combined with pregnancy?

1. Pregnancy combined with ovarian tumors. Clinically, the pregnancy rate of patients with ovarian tumors is reduced. However, ovarian tumors usually occur first, followed by pregnancy. When pregnancy and ovarian tumors coexist, malignant tumors are relatively rare. It is generally believed that malignant tumors account for 2% to 5% of pregnancy combined with ovarian tumors, while 15% to 20% of ovarian tumors in non-pregnant women are malignant.

2. In principle, the treatment of pregnancy complicated with ovarian malignancy is no different from that of non-pregnant patients. Once a malignant ovarian tumor is confirmed or suspected, surgery should be performed as soon as possible without considering the pregnancy period. The first thing in the operation is to determine the period of the tumor and perform a tissue examination of frozen sections to determine the pathological diagnosis and category of the tumor. Unless there is an acute abdomen, there is no need to rush to remove the ovaries, allowing women to continue their pregnancy until the mature fetus is delivered, or to be comforted mentally and psychologically.

3. For benign ovarian tumors, once confirmed, surgical treatment should be performed, except for short-term observation of suspected ovarian tumor-like lesions. The scope of surgery is determined according to the patient's age, fertility requirements and the condition of the contralateral ovary.

The hazards of ovarian cyst combined with pregnancy include:

1. In early pregnancy, a large tumor or one that is embedded in the pelvic cavity can easily cause miscarriage.

2. The enlarged uterus in mid-pregnancy can easily cause ovarian cyst pedicle torsion when the ovarian tumor is lifted from the pelvic cavity to the larger abdominal cavity. The uterus that shrinks sharply after delivery increases the pelvic cavity space, which can also easily cause ovarian cyst pedicle torsion. Teratomas are especially prone to pedicle torsion.

3. During delivery, ovarian tumors will block the birth canal, leading to obstructive dystocia or uterine contractions. The head presentation of the baby will compress the tumor and cause it to rupture and bleed.