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https://nccur.lib.nccu.edu.tw/handle/140.119/81026
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| Title: | Risk analysis of torsion and malignancy for adnexal masses during pregnancy |
| Authors: | Lin, Shu-Ling
林淑玲
Arici, Aydin
Soong, Yung-Kuei
Lee, Chyi-Long
Wang, Chin-Jung
Murk, William
Yen, Chih-Feng |
| Contributors: | 社會系 |
| Keywords: | adnexal masses;malignancy;Pregnancy;risk analysis;torsion |
| Date: | 2009-05 |
| Issue Date: | 2016-02-01 15:57:11 (UTC+8) |
| Abstract: | Objective: To find the risk factors of torsion and malignancy for adnexal tumors during pregnancy. Design: Retrospective, historical cohort study. Setting: University hospital. Patient(s): Patients from 1990 to 2004 with adnexal tumors ≥4 cm during pregnancy. Intervention(s): Surgery undertaken antepartum, concurrently with cesarean delivery, or postpartum. Main Outcome Measure(s): Tumor size, progression, pathology, incidence of malignancy, and torsion. Result(s): Almost all 213 managements analyzed had good surgical and obstetric outcomes. In 174 patients who were followed through pregnancy with known tumor existence, 14.84% ± 3.05% encountered tumor torsion. Adnexal masses with sizes between 6 and 8 cm had a significantly higher risk of torsion compared with other sizes (22.41% vs. 9.48%; odds ratio 2.8, 95% confidence interval [CI], [1.1, 6.6]). Sixty percent of the torsion happened between the 10th and 17th weeks of gestation, and only 5.9% happened after 20 weeks. The incidence of malignancy was 3.4%, while that of ovarian cancer was 2.3%. Tumor diameters ≥10 cm at initial diagnosis had a higher risk of malignancy versus smaller sizes (8.77% vs. 0.85%; odds ratio 11.2, 95% CI, [1.3, 97.9]), and tumor growth rates ≥3.5 cm/week also had a significantly higher risk of malignancy versus lower rates (8.33% vs. 0.88%; odds ratio 10.2, 95% CI, [1.0, 101.2]). Conclusion(s): Adnexal tumors bearing higher risks for torsion and malignancy should be strongly considered for an aggressive strategy of management during pregnancy. |
| Relation: | Fertility & Sterility, 91(5), 1895-1902 |
| Data Type: | article |
| DOI 連結: | http://dx.doi.org/10.1016/j.fertnstert.2008.02.014 |
| DOI: | 10.1016/j.fertnstert.2008.02.014 |
| Appears in Collections: | [社會學系] 期刊論文
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