Treatment of ovarian cysts during pregnancy

Maybe some of you have heard of symptoms such as pregnancy complicated with ovarian cysts, but there are definitely not many people who really understand pregnancy complicated with ovarian cysts. After all, pregnancy complicated with ovarian cysts is not a common symptom for us. However, due to the great harm of pregnancy complicated with ovarian cysts, it is still necessary for everyone to know more about pregnancy complicated with ovarian cysts. Below we introduce the treatment methods of pregnancy complicated with ovarian cysts.

In principle, the treatment of pregnant women with ovarian malignant tumors is no different from that of non-pregnant women. Once a malignant ovarian tumor is confirmed or suspected, surgery should be performed as soon as possible, regardless of the pregnancy period. The first priority during surgery is to determine the stage of the tumor. A histological examination of frozen sections should be performed to determine the pathological diagnosis and type of the tumor. All pregnancies complicated by ovarian malignancy should receive chemotherapy. For patients with early-stage tumors who have only undergone unilateral oophorectomy, chemotherapy can be started in the 6th week after full-term delivery; for patients who have undergone bilateral hysterectomy, chemotherapy should be started 5 to 10 days after surgery. The management of metastatic ovarian cancer that originates in the stomach, colon, liver, or breast may vary from person to person.

Chemotherapy is the main auxiliary treatment. Because ovarian malignant tumors are sensitive to chemotherapy, certain therapeutic effects can be achieved even if they have metastasized widely. It can be used to prevent recurrence and also for those with residual cancer after surgery. For patients in the advanced stage who are temporarily unable to undergo surgery, chemotherapy can also slow down the growth or shrink the tumor, creating conditions for future surgery.

Commonly used drugs are platinum drugs: cisplatin and carboplatin. Alkylating agents: cyclophosphamide, ifosfamide (ifosfamide), thiotepa and phenylalanine mustard, etc. Antimetabolites: fluorouracil. Antitumor antibiotics: actinomycin D, bleomycin, etc. Anti-tumor plant ingredient category: vincristine, paclitaxel, etc. In recent years, they are mostly used in combination, with platinum drugs as the main drugs.

For benign ovarian tumors, surgical treatment should be performed once the diagnosis is confirmed, except for suspected ovarian tumor-like lesions in which short-term observation can be performed. The scope of surgery is determined based on the patient's age, fertility requirements, and the condition of the contralateral ovary.

In the above article, we introduced a relatively rare symptom, that is, pregnancy complicated with ovarian cysts. We know that pregnancy complicated with ovarian cysts is very harmful, so we must pay attention to this symptom. The above article introduces in detail the treatment methods of pregnancy complicated with ovarian cysts.