Evidence map›Paper›PMID 39838155›Full record

ArticleArchives of gynecology and obstetrics2025

The clinical characteristics and prognosis of surgically treated ovarian endometrioma in pregnant women.

Zhao Tian, Zhe Du, Linru Fu, Xiuqi Wang, Zhijing Sun

Abstract read
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Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Zhao Tian *Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynaecologic Diseases, Beijing, China.
Zhe Du *Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynaecologic Diseases, Beijing, China.
Linru Fu *Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynaecologic Diseases, Beijing, China.
Xiuqi WangDepartment of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynaecologic Diseases, Beijing, China.
Zhijing SunDepartment of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynaecologic Diseases, Beijing, China. sunzhj2001@sina.com.ORCID 0000-0001-7187-0431

Funding

Capital Foundation of Medical Development 2024-2-4014Chinese Academy of Medical Sciences Initiative for Innovative Medicine 2023-I2M-C&T-B-033National Natural Science Foundation of China 62476288Natural Science Foundation of Beijing Municipality L232124
6 · The paper itself

Abstract

purposeTo investigate the clinical characteristics and prognosis of surgically treated ovarian endometrioma (OMA) in pregnant women.

methodsThis retrospective cohort study analyzed 30 patients with pathologically confirmed ovarian endometrioma during pregnancy and delivery. Clinical characteristics and follow-up data were summarized.

resultsAmong the 30 patients, 21 underwent laparoscopic surgery during pregnancy. A total of 24 OMAs were identified in 21 patients and exhibited various changes during pregnancy: 13 did not show significant changes, 10 increased in size and 1 decreased in size. The indications for surgery included suspicion of malignancy (16/21), large and progressive growth (3/21), and ovarian cyst torsion (2/21). The postoperative pathology results showed that decidualization occurred in 7 cases, while only 1 case was diagnosed with malignancy, and there appears to be a lack of specific clinical characteristics to distinguish between malignant cysts and de ci du a l I zed cysts. Of the 21 patients, 19 underwent successful follow-up. Among them, 2 cases were preterm births, 1 experienced recurrence, and 2 developed adenomyosis during long-term follow-up. Besides, 9 patients underwent cystectomy during the cesarean section. All the ultrasound findings showed regular and smooth-walled unilocular cysts, with diameters smaller than 6 cm and no apparent growth during pregnancy. Postoperative pathology revealed decidualization in 3 cases, and 1 case experienced recurrence during follow-up.

conclusionsOMA presents various changes during pregnancy and caution should also be taken for recurrence after delivery. Surgical intervention is prompted mainly by suspected malignancies which is difficult to distinguish with decidualization, and laparoscopic surgery is relatively safe during mid-pregnancy.

Indexed as

EndometriosisOvarian DiseasesPregnancy ComplicationsAdultFemaleHumansLaparoscopyOvarian CystsPregnancyPrognosisRetrospective StudiesYoung AdultDecidualizationOvarian endometriomasPregnancyRecurrenceSurgery

Identifiers

PMID39838155
PMCPMC11985676

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