Investigation and Management of Adnexal Masses in Pregnancy

Table 2

Clinical presentation and frequency of spontaneous resolution of adnexal masses in pregnancy [3, 4, 9–11, 18–20].

		Asymptomatic	Symptomatic	Spontaneous resolution
Bernhard et al., 1999 [9]; (>5 cm/complex)	102	78.4%	21.6% (pain or palpable mass)	68.6%
Zanetta et al., 2003 [18]	79	86.1%	13.9% (pain)	51%
Agarwal et al., 2003 [19]	14	35.6%	50% (pain or discomfort); 14.2% (larger than expected uterus)	NA
Condous et al., 2004 [20]	161	43.7%	56.3% (pain or genital bleeding)	71.7%
Schmeler et al., 2005 [10]; (>5 cm)	59	92%	8% (pain)	1,7%
Kumari et al., 2006 [11]	20	50%	35% (pain); 15% (NE)	NA
Balci  et  al., 2008 [3]	36	30.6%	69,4% (pain)	NA
Aggarwal and Kehoe, 2011 [4]; (review)^⨀	809	65.4%	16.8% (pain); 9% (bleeding/dystocia/rupture)	30.7%

NE: not specified; NA: not applicable to study design. ^⨀Review of studies including only surgically managed cases of both benign and malignant tumors (includes the other studies quoted here, except Agarwal et al. (2003) [19] and Kumari et al. (2006) [11]).