Maternal ovarian cysts in pregnancy

Question 1

What are the common causes for maternal ovarian cyst in pregnancy?

Answer 1

Question 2

What are the ultrasound characteristics of ovarian cysts in pregnancy?

Answer 2

Question 3

Ovarian cyst malignancy characteristics in pregnancy:

Answer 3

Question 4

What is the role of serologic markers for ovarian cancer in pregnancy?

Answer 4

Serum tumor markers are used primarily for surveillance of known, treated ovarianmalignancies, but they are of limited benefit in the initial assessment of ovarian masses in pregnancy

Question 5

CA125 is a tumor marker for:

Answer 5

• elevated in 80% of nonpregnant women with epithelial ovarian malignancies, with mucinous adenocarcinomas
• inadequate diagnostic accuracy in premenopausal women
• when elevated can provide a baseline value before treatment of ovarian cancer, but it does not help to differentiate benign from malignant masses during pregnancy.

Question 6

Alpha-fetoprotein is a tumor marker for:

Answer 6

Endodermal sinus tumor

Question 7

HCG is a tumor marker for:

Answer 7

choriocaricinoma

Question 8

LDH is a tumor marker for :

Answer 8

-Dysgerminoma

Question 9

Risks of ovarian cysts in pregnancy:

Answer 9

• Enlargement can lead to torsion
• Rupture can cause pain, bleeding which can increase risk for infection
• Risk for shoulder dystocia at delivery if large