Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Gynecological Single Ultrasound Center

Matteo Bruno
ORCID logo ,
Giulia Capanna
* ORCID logo ,
Veronica Stanislao
,
Raffaella Ciuffreda
,
Sara Tabacco
,
Ilaria Fantasia
,
Christian Di Florio
,
Guglielmo Stabile
ORCID logo ,
Angela D’Alfonso
,
Maurizio Guido
,
Manuela Ludovisi
ORCID logo
Version 1 : Received: 8 September 2023 / Approved: 11 September 2023 / Online: 11 September 2023 (07:15:52 CEST)

A peer-reviewed article of this Preprint also exists.

Bruno, M.; Capanna, G.; Stanislao, V.; Ciuffreda, R.; Tabacco, S.; Fantasia, I.; Di Florio, C.; Stabile, G.; D’Alfonso, A.; Guido, M.; Ludovisi, M. Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Single Gynecological Ultrasound Center. Diagnostics 2023, 13, 3247. Bruno, M.; Capanna, G.; Stanislao, V.; Ciuffreda, R.; Tabacco, S.; Fantasia, I.; Di Florio, C.; Stabile, G.; D’Alfonso, A.; Guido, M.; Ludovisi, M. Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Single Gynecological Ultrasound Center. Diagnostics 2023, 13, 3247.

Abstract

(1) Background: adnexal masses during pregnancy detection are increased due to the use of first trimester screening and to advanced maternal age. Although the low risk of malignancy, other risks are associated: torsion, rupture or labour obstruction. Correct diagnosis and management are fundamental to guarantee both maternal and fetal safety. Adnexal masses may be troublesome to classify during pregnancy due to the increase in the uterus volume and to pregnancy-related hormonal changes. Management should be based on ultrasound examination to provide the best treatment. (2) Methods: the aim was to describe the ultrasound features of ovarian masses detected during pregnancy. We evaluated patient’s management, perinatal outcomes and follow-up. (3) Results: our study demonstrated that the management should be guided by an accurate ultrasound examination performed by an expert operator according to standardized techniques. Secondly, our results confirm the data present in the literature: the masses are most frequently benign, ultrasound follow-up is the best management strategy and obstetric outcome is not considerably affected. (4) Conclusions: the management of patients with ovarian masses detected during pregnancy should be based on ultrasound examination and a centralization in referral centers for ovarian masses should be considered.

Keywords

adnexal masses; pregnancy; ultrasound

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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