Thornton J G, Wells M
Obstet Gynecol. 1987 May;69(5):717-21.
In a retrospective series of 131 ovarian tumors associated with pregnancy, 81 (including one carcinoma and six tumors of borderline malignancy) were removed. Eighty-three cysts were examined by ultrasound. All 15 of less than 5 cm in diameter resolved spontaneously. Of 68 larger than 5 cm in diameter, 39 had a simple internal echo pattern and a smooth wall; 19 of these disappeared, and the histology of seven others suggested they might have resolved if treated conservatively. Three of the tumors of borderline malignancy also showed a simple ultrasound pattern, but higher-resolution machines may have differentiated two of these. We suggest a policy of selective conservative management of ovarian cysts during pregnancy on the basis of the ultrasound appearance.
在一项对131例与妊娠相关的卵巢肿瘤的回顾性研究中，81例（包括1例癌和6例交界性恶性肿瘤）被切除。83个囊肿接受了超声检查。所有直径小于5厘米的囊肿中有15个自发消退。在68个直径大于5厘米的囊肿中，39个内部回声简单且壁光滑；其中19个消失，另外7个的组织学检查表明，如果采取保守治疗它们可能已经消退。3例交界性恶性肿瘤也表现出简单的超声图像，但更高分辨率的机器可能会区分其中的2例。我们建议根据超声表现对孕期卵巢囊肿采取选择性保守治疗策略。
