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 ?
Immediate Surgical removal
Removal after delivery
Termination of pregnancy and cyst removal
Observation and Surgical removal in IInd trimester
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.
Ovary