Journal of Nippon Medical School: Vol.69 No.1 page.039

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ArticleTitle Primary Ovarian Tumor Undergoing Surgical Management During Pregnancy

AuthorList Tsutomu Takeuchi, Shunji Suzuki, Zuisei Hayashi, Toshiya Shinagawa and Tsutomu Araki

Affiliation Department of Obstetrics and Gynecology, Nippon Medical School

Language EN

Volume 69

Issue 1

Year 2002

Page 39-42

Received July 30, 2001

Accepted August 22, 2001

Keywords ovarian carcinoma, ovarian tumor, pregnancy, symptom

Abstract The aim of this study was to evaluate the preoperative symptoms of patients with primary ovarian tumors undergoing surgery during pregnancy and non-pregnancy. We retrospectively analyzed the medical records of 71 pregnant patients who underwent surgery for primary ovarian tumors (pregnant) and 580 non-pregnant patients (non-pregnant) aged 15∼44 years old. In the non-pregnant group, 79.7% of the patients complained of abdominal pain at the first examination. However, in the pregnant group, 62.0% of the patients reported no symptoms and 31.0% of them reported abdominal pain (p<0.05). There were no significant differences in the percentage of ovarian malignancies between the two groups (8.5% vs. 6.6%). However, the incidence of the advanced stage of ≥ Ic in ovarian malignancies in the non-pregnant group was 42.1%, while it was 0% (p<0.05) in the pregnant group. Ovarian tumors including ovarian malignancies were significantly more frequently diagnosed with no symptoms in the pregnant group than in the non-pregnant group.

Correspondence to Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

ArticleTitle	Primary Ovarian Tumor Undergoing Surgical Management During Pregnancy
AuthorList	Tsutomu Takeuchi, Shunji Suzuki, Zuisei Hayashi, Toshiya Shinagawa and Tsutomu Araki
Affiliation	Department of Obstetrics and Gynecology, Nippon Medical School
Language	EN
Volume	69
Issue	1
Year	2002
Page	39-42
Received	July 30, 2001
Accepted	August 22, 2001
Keywords	ovarian carcinoma, ovarian tumor, pregnancy, symptom
Abstract	The aim of this study was to evaluate the preoperative symptoms of patients with primary ovarian tumors undergoing surgery during pregnancy and non-pregnancy. We retrospectively analyzed the medical records of 71 pregnant patients who underwent surgery for primary ovarian tumors (pregnant) and 580 non-pregnant patients (non-pregnant) aged 15∼44 years old. In the non-pregnant group, 79.7% of the patients complained of abdominal pain at the first examination. However, in the pregnant group, 62.0% of the patients reported no symptoms and 31.0% of them reported abdominal pain (p<0.05). There were no significant differences in the percentage of ovarian malignancies between the two groups (8.5% vs. 6.6%). However, the incidence of the advanced stage of ≥ Ic in ovarian malignancies in the non-pregnant group was 42.1%, while it was 0% (p<0.05) in the pregnant group. Ovarian tumors including ovarian malignancies were significantly more frequently diagnosed with no symptoms in the pregnant group than in the non-pregnant group.
Correspondence to	Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan