Ovarian cancer during pregnancy Review
| Authors: | Causa Andrieu, P. I.; Wahab, S. A.; Nougaret, S.; Petkovska, I. |
| Review Title: | Ovarian cancer during pregnancy |
| Abstract: | Adnexal masses during pregnancy are a relatively uncommon entity. Their clinical management is challenging given the overlapping features of certain entities on imaging and histopathology, which can mimic malignancy, and the potential side effects to the mother and fetus, whether expectant management versus surgery is pursued. Ultrasonography with Doppler evaluation is the modality of choice for evaluating adnexal masses during pregnancy. Magnetic resonance imaging is the second-line modality useful when US findings are inconclusive/indeterminate. Most adnexal masses in pregnant patients are benign in origin (e.g., functional cysts, mature cystic teratoma, decidualization of endometrioma), but a few are malignant in origin (e.g., dysgerminoma, granulosa cell tumor). Most cases of adnexal masses are asymptomatic, but complications such as ovarian torsion can occur. This review aims to familiarize the radiologist with the imaging of adnexal lesions during pregnancy so that the radiologist can identify ovarian cancer. Specifically, the review will detail the most common benign and malignant adnexal masses in pregnancy, mimickers, and their corresponding imaging findings on US and MRI. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. |
| Keywords: | review; nuclear magnetic resonance imaging; magnetic resonance imaging; ovarian neoplasms; edema; computer assisted tomography; ovary cancer; bleeding; cystadenoma; practice guideline; pathology; diagnostic imaging; radiologist; ovary tumor; echography; ovary carcinoma; granulosa cell tumor; pregnancy; endometrium tumor; ultrasonography; ovary cyst; cyst; dermoid cyst; ectopic pregnancy; hydrosalpinx; procedures; adnexa disease; adnexal diseases; ovary hyperstimulation; ovary disease; tuboovarian abscess; humans; human; female; positron emission tomography-computed tomography; ovary torsion; borderline ovarian tumor; benign ovarian tumor; hemorrhagic cyst; hyperreactio luteinalis; massive ovarian edema; ovarian cystic teratoma; ovarian fibroma; ovarian germ cell tumor; ovarian leiomyoma; ovarian sex cord stromal tumor; theca lutein cyst |
| Journal Title: | Abdominal Radiology |
| Volume: | 48 |
| Issue: | 5 |
| ISSN: | 2366-004X |
| Publisher: | Springer |
| Date Published: | 2023-05-01 |
| Start Page: | 1694 |
| End Page: | 1708 |
| Language: | English |
| DOI: | 10.1007/s00261-022-03768-y |
| PUBMED: | 36538079 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in PubMed and PDF -- Corresponding author is MSK author: Pamela I. Causa Andrieu -- Source: Scopus |
