Management of ovarian cyst during pregnancy

Abstract

Objective: To determine the optimum management of ovarian cyst in association with pregnancy. Setting and duration: From January 1999 to December 2003 in Gynae Unit I, Jinnah Hospital Lahore and Ghurki Trust Teaching Hospital, Lahore. Patients & methods: 21 patients were included in this study. All patients presented in early 2nd trimester of pregnancy (14-26 weeks). Simple ovarian cysts were seen in 20 patients. One patient had a multiseptate cyst and had cystic and solid areas. Results: 2 (9.52%) patients had laparotomy for cyst removal in the puerperium; 4 (19.04%) had cystectomy at the time of LSCS while 71.4% (15 patients) had laparotomy for ovarian cystectomy during pregnancy due to torsion. The histopathology report was follicular cysts in 20 patients (95.23%) while 1 (4.76%) had a germ cell tumour. This patient was given PEB (cisplatin, epirubicin and bleomycin) chemotherapy after 20 weeks of gestation. Conclusion: Ovarian cyst in combination with pregnancy is seen in 0.01% of pregnancies. Management depends upon the presentation and symptoms. Laparotomy done in the 2,d trimester usually does not cause fetal loss. The cysts are usually benign with malignancy seen very rarely.