Ritta Kittiya, Luangdansakul Wiyada, Smanchat Buppa, Bhamarapravatana Kornkarn, Suwannarurk Komsun
Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital, Royal Thai Air Force, Bangkok, 10220, Thailand.
Thammasat University Patumthani Thailand, Thailand.
Asian Pac J Cancer Prev. 2025 Apr 1;26(4):1329-1333. doi: 10.31557/APJCP.2025.26.4.1329.
To determine the prevalence of ovarian tumor in pregnancy.
A retrospective descriptive study was conducted using electronic data from Obstetrics and Gynecology Department at Bhumibol Adulyadej Hospital (BAH), Royal Thai Air Force, Thailand recorded between January 2012 and December 2022. The participants were patients diagnosed with ovarian tumors during pregnancy (OTP) within the study period. Demographic characteristics, histopathological findings, ultrasonography results and pregnancy outcomes were recorded.
A total of 190 OTP cases were identified among 41,842 pregnant women. One hundred twenty-six OTP cases underwent surgery during pregnancy. The mean age of the participants was 29.6 years. The prevalence of ovarian tumors was 4.5(190/41,842) in 1000 pregnancies. Malignant ovarian tumors accounted for 0.14% (2/126). Histopathological analysis revealed that germ cell ovarian tumors and common epithelial ovarian tumors were found in 50.79% (64/126) and 49.2% (62/126) of cases, respectively. Most germ cell ovarian tumors were mature cystic teratomas, which were found in 98% (63/64) of cases. One-third (32/126) of the OTP cases underwent surgery during the second and early third trimesters. Fetal loss following surgery occurred in 18.75% (6/32) of cases. Adnexectomy performed with cesarean delivery and after vaginal delivery occurred in 93 and 1 cases, respectively. Symptomatic OTP leading to emergency surgery was observed in 6.84% (13/190) of cases.
The prevalence of OTP was 4.5 per 1,000 pregnant women. Fetal loss during surgery in pregnancy occurred in 18.75%. Mature cystic teratoma was the common histopathological finding.
确定妊娠期卵巢肿瘤的患病率。
采用泰国皇家空军普密蓬·阿杜德医院（BAH）妇产科2012年1月至2022年12月期间记录的电子数据进行回顾性描述性研究。研究对象为在研究期间被诊断为妊娠期卵巢肿瘤（OTP）的患者。记录人口统计学特征、组织病理学结果、超声检查结果和妊娠结局。
在41842名孕妇中，共识别出190例OTP病例。126例OTP病例在孕期接受了手术。参与者的平均年龄为29.6岁。每1000例妊娠中卵巢肿瘤的患病率为4.5（190/41842）。恶性卵巢肿瘤占0.14%（2/126）。组织病理学分析显示，生殖细胞性卵巢肿瘤和常见上皮性卵巢肿瘤分别占病例的50.79%（64/126）和49.2%（62/126）。大多数生殖细胞性卵巢肿瘤为成熟囊性畸胎瘤，占病例的98%（63/64）。三分之一（32/126）的OTP病例在妊娠中期和孕晚期早期接受了手术。手术后胎儿丢失发生在18.75%（6/32）的病例中。剖宫产时及阴道分娩后行附件切除术分别为93例和1例。6.84%（13/190）的病例出现有症状的OTP并导致急诊手术。
每1000名孕妇中OTP的患病率为4.5。孕期手术期间胎儿丢失率为18.75%。成熟囊性畸胎瘤是常见的组织病理学表现。
