A 20 year young female presented for routine antenatal checkup. She was in 1st trimester and was diagnosed to have ovarian cyst. What would you do next ?
Ans. is D Observation and Surgical removal in IInd trimester (Ref : Dutta, 6/e, p 310 (5/e, p. 329, 4/e, p 329)] It's best to observe the cyst till 2nd trimester, and then make decision on wether to remove it or not. Best time for surgical removal of ovarian tumour is 14-16 wks. If the diagnosis is made before this the patient is kept in observation till this time. Management of the tumor if diagnosed in IIIrd trimester of pregnancy - immediate removal But if the tumour is diagnosed beyond 36 wks - Operation is better to be withheld till delivery and the tumor is then removed as early in Puerperium as possible.
Immediate Surgical removal
Removal after delivery
Termination of pregnancy and cyst removal
Observation and Surgical removal in IInd trimester
Ovary