MATERNAL AND NEONATAL OUTCOME IN PREGNANCY WITH LARGE GYNAECOLOGY TUMOUR

Gynaecological tumour in pregnancy is a complex problem that requires the expertise of multidisciplinary task force. The tumour mass may be asymptomatic and unintentionally found or may be undetected until it reached a voluminous size and occupied the abdominal cavity. Most of gynaecological tumours in pregnancy are diagnosed unintentionally during visits or during first trimester ultrasound screening. Although the data are conflicting and most women with a large sized ovarian cyst in pregnancy may be complicated by torsion, rupture, haemorrhage, infection, as well as obstruction in delivery. And women with a large sized fibroids have uneventful pregnancies, the weight of evidence in the literature suggests that uterine fibroids are associated with an increased rate of spontaneous miscarriage, preterm labor, placenta abruption, malpresentation, labor dystocia, cesarean delivery, and postpartum hemorrhage. Individual treatment is the main issue when gynaecological tumour is diagnosed during pregnancy. When faced with the problem of gynaecological tumour in pregnancy, a thorough evaluation and avoidance of emergency procedure hazardous to both mother and the baby is needed. The treatment of a gynaecological tumour during pregnancy should be based on stage of pregnancy, the nature of the tumour, individual symptoms, safety of the foetus, and considering the fertility of the patient after treatment. Treatment should be given to maximize the survival rate and at the most proper time point.