Ovarian Lutein Cysts in Pregnancy
Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnos...
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Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1973-09, Vol.42 (3), p.388-398 |
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creator | CASPI, ELIAHU SCHREYER, PETER BUKOVSKY, JAN |
description | Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnosis was made either during cesarean section, performed according to obstetric indications, during obstructed labor due to pelvic mass or, in some patients, with acute abdomen, pelvic pain and pelvic mass in the first or second trimester of pregnancy, during laparotomy. Excluding the 7 cases of hydrops due to Rh sensitization, 3 abnormal fetuses were found among the 22 pregnancies. Misinterpretation at laparotomy or erroneous histopathologic interpretations resulted in unnecessary major surgery in 10 of the 26 cases reviewed. When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered. |
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Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnosis was made either during cesarean section, performed according to obstetric indications, during obstructed labor due to pelvic mass or, in some patients, with acute abdomen, pelvic pain and pelvic mass in the first or second trimester of pregnancy, during laparotomy. Excluding the 7 cases of hydrops due to Rh sensitization, 3 abnormal fetuses were found among the 22 pregnancies. Misinterpretation at laparotomy or erroneous histopathologic interpretations resulted in unnecessary major surgery in 10 of the 26 cases reviewed. When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 4353349</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Adolescent ; Adult ; Blood Group Incompatibility ; Cesarean Section ; Choriocarcinoma - complications ; Chorionic Gonadotropin - secretion ; Congenital Abnormalities ; Female ; Humans ; Hydatidiform Mole - complications ; Infant, Newborn ; Luteinizing Hormone - secretion ; Male ; Obstetric Labor Complications ; Ovarian Neoplasms - complications ; Ovarian Neoplasms - diagnosis ; Pre-Eclampsia ; Pregnancy ; Pregnancy Complications ; Pregnancy in Diabetics ; Pregnancy, Multiple ; Rh-Hr Blood-Group System ; Thecoma - complications ; Thecoma - diagnosis ; Thecoma - pathology</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1973-09, Vol.42 (3), p.388-398</ispartof><rights>1973 The American College of Obstetricians and Gynecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4353349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CASPI, ELIAHU</creatorcontrib><creatorcontrib>SCHREYER, PETER</creatorcontrib><creatorcontrib>BUKOVSKY, JAN</creatorcontrib><title>Ovarian Lutein Cysts in Pregnancy</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnosis was made either during cesarean section, performed according to obstetric indications, during obstructed labor due to pelvic mass or, in some patients, with acute abdomen, pelvic pain and pelvic mass in the first or second trimester of pregnancy, during laparotomy. Excluding the 7 cases of hydrops due to Rh sensitization, 3 abnormal fetuses were found among the 22 pregnancies. Misinterpretation at laparotomy or erroneous histopathologic interpretations resulted in unnecessary major surgery in 10 of the 26 cases reviewed. When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Blood Group Incompatibility</subject><subject>Cesarean Section</subject><subject>Choriocarcinoma - complications</subject><subject>Chorionic Gonadotropin - secretion</subject><subject>Congenital Abnormalities</subject><subject>Female</subject><subject>Humans</subject><subject>Hydatidiform Mole - complications</subject><subject>Infant, Newborn</subject><subject>Luteinizing Hormone - secretion</subject><subject>Male</subject><subject>Obstetric Labor Complications</subject><subject>Ovarian Neoplasms - complications</subject><subject>Ovarian Neoplasms - diagnosis</subject><subject>Pre-Eclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy in Diabetics</subject><subject>Pregnancy, Multiple</subject><subject>Rh-Hr Blood-Group System</subject><subject>Thecoma - complications</subject><subject>Thecoma - diagnosis</subject><subject>Thecoma - pathology</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1973</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotUMtKxDAUDaKMdfQThLpxF8irSbOU4gsK40LBXUnbG6fal0nr0L83w3R1H-ecyz3nDEU0VRwzzj_PUUQI01ilQlyiK--_CSFUar5BG8ETzoWO0N3uz7jG9HE-T9D0cbb4yceheXPw1Zu-Wq7RhTWth5u1btHH0-N79oLz3fNr9pDjkSWU4jTldW2JldqED6wsK1bWTJVCJzK1RlUWwIqwErUqrQhEWukKTBAEuQC-Rfenu6MbfmfwU9E1voK2NT0Msy9SdnQjZSDersS57KAuRtd0xi3F6ing4oQfhnYC53_a-QCu2INpp30RMiCSJQRTrTjRYcLHWCj_B4hVV8g</recordid><startdate>197309</startdate><enddate>197309</enddate><creator>CASPI, ELIAHU</creator><creator>SCHREYER, PETER</creator><creator>BUKOVSKY, JAN</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>197309</creationdate><title>Ovarian Lutein Cysts in Pregnancy</title><author>CASPI, ELIAHU ; SCHREYER, PETER ; BUKOVSKY, JAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2511-883ddf0f69a187f6bc2bd27b49568fa7cfeef4bd24d7bf40f61c9ceaf695114e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1973</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Blood Group Incompatibility</topic><topic>Cesarean Section</topic><topic>Choriocarcinoma - complications</topic><topic>Chorionic Gonadotropin - secretion</topic><topic>Congenital Abnormalities</topic><topic>Female</topic><topic>Humans</topic><topic>Hydatidiform Mole - complications</topic><topic>Infant, Newborn</topic><topic>Luteinizing Hormone - secretion</topic><topic>Male</topic><topic>Obstetric Labor Complications</topic><topic>Ovarian Neoplasms - complications</topic><topic>Ovarian Neoplasms - diagnosis</topic><topic>Pre-Eclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Pregnancy in Diabetics</topic><topic>Pregnancy, Multiple</topic><topic>Rh-Hr Blood-Group System</topic><topic>Thecoma - complications</topic><topic>Thecoma - diagnosis</topic><topic>Thecoma - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CASPI, ELIAHU</creatorcontrib><creatorcontrib>SCHREYER, PETER</creatorcontrib><creatorcontrib>BUKOVSKY, JAN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CASPI, ELIAHU</au><au>SCHREYER, PETER</au><au>BUKOVSKY, JAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ovarian Lutein Cysts in Pregnancy</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1973-09</date><risdate>1973</risdate><volume>42</volume><issue>3</issue><spage>388</spage><epage>398</epage><pages>388-398</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Three cases of theca lutein cysts associated with nonmolar pregnancies are presented and the literature reviewed. Of the 29 cases discussed, 7 occurred in patients with Rh sensitization, 6 in patients with multiple pregnancies and 16 in patients with apparently normal single pregnancies. The diagnosis was made either during cesarean section, performed according to obstetric indications, during obstructed labor due to pelvic mass or, in some patients, with acute abdomen, pelvic pain and pelvic mass in the first or second trimester of pregnancy, during laparotomy. Excluding the 7 cases of hydrops due to Rh sensitization, 3 abnormal fetuses were found among the 22 pregnancies. Misinterpretation at laparotomy or erroneous histopathologic interpretations resulted in unnecessary major surgery in 10 of the 26 cases reviewed. When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>4353349</pmid><tpages>11</tpages></addata></record> |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Adolescent Adult Blood Group Incompatibility Cesarean Section Choriocarcinoma - complications Chorionic Gonadotropin - secretion Congenital Abnormalities Female Humans Hydatidiform Mole - complications Infant, Newborn Luteinizing Hormone - secretion Male Obstetric Labor Complications Ovarian Neoplasms - complications Ovarian Neoplasms - diagnosis Pre-Eclampsia Pregnancy Pregnancy Complications Pregnancy in Diabetics Pregnancy, Multiple Rh-Hr Blood-Group System Thecoma - complications Thecoma - diagnosis Thecoma - pathology |
title | Ovarian Lutein Cysts in Pregnancy |
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