Please use this identifier to cite or link to this item:
https://ah.lib.nccu.edu.tw/handle/140.119/81026
DC Field | Value | Language |
---|---|---|
dc.contributor | 社會系 | - |
dc.creator | Lin, Shu-Ling | - |
dc.creator | 林淑玲 | zh_TW |
dc.creator | Arici, Aydin | en_US |
dc.creator | Soong, Yung-Kuei | en_US |
dc.creator | Lee, Chyi-Long | en_US |
dc.creator | Wang, Chin-Jung | en_US |
dc.creator | Murk, William | en_US |
dc.creator | Yen, Chih-Feng | en_US |
dc.date | 2009-05 | - |
dc.date.accessioned | 2016-02-01T07:57:11Z | - |
dc.date.available | 2016-02-01T07:57:11Z | - |
dc.date.issued | 2016-02-01T07:57:11Z | - |
dc.identifier.uri | http://nccur.lib.nccu.edu.tw/handle/140.119/81026 | - |
dc.description.abstract | Objective: To find the risk factors of torsion and malignancy for adnexal tumors during pregnancy. Design: Retrospective, historical cohort study. Setting: University hospital. Patient(s): Patients from 1990 to 2004 with adnexal tumors ≥4 cm during pregnancy. Intervention(s): Surgery undertaken antepartum, concurrently with cesarean delivery, or postpartum. Main Outcome Measure(s): Tumor size, progression, pathology, incidence of malignancy, and torsion. Result(s): Almost all 213 managements analyzed had good surgical and obstetric outcomes. In 174 patients who were followed through pregnancy with known tumor existence, 14.84% ± 3.05% encountered tumor torsion. Adnexal masses with sizes between 6 and 8 cm had a significantly higher risk of torsion compared with other sizes (22.41% vs. 9.48%; odds ratio 2.8, 95% confidence interval [CI], [1.1, 6.6]). Sixty percent of the torsion happened between the 10th and 17th weeks of gestation, and only 5.9% happened after 20 weeks. The incidence of malignancy was 3.4%, while that of ovarian cancer was 2.3%. Tumor diameters ≥10 cm at initial diagnosis had a higher risk of malignancy versus smaller sizes (8.77% vs. 0.85%; odds ratio 11.2, 95% CI, [1.3, 97.9]), and tumor growth rates ≥3.5 cm/week also had a significantly higher risk of malignancy versus lower rates (8.33% vs. 0.88%; odds ratio 10.2, 95% CI, [1.0, 101.2]). Conclusion(s): Adnexal tumors bearing higher risks for torsion and malignancy should be strongly considered for an aggressive strategy of management during pregnancy. | - |
dc.format.extent | 130 bytes | - |
dc.format.mimetype | text/html | - |
dc.relation | Fertility & Sterility, 91(5), 1895-1902 | - |
dc.subject | adnexal masses; malignancy; Pregnancy; risk analysis; torsion | - |
dc.title | Risk analysis of torsion and malignancy for adnexal masses during pregnancy | - |
dc.type | article | - |
dc.identifier.doi | 10.1016/j.fertnstert.2008.02.014 | - |
dc.doi.uri | http://dx.doi.org/10.1016/j.fertnstert.2008.02.014 | - |
item.fulltext | With Fulltext | - |
item.grantfulltext | restricted | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | article | - |
item.cerifentitytype | Publications | - |
Appears in Collections: | 期刊論文 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
index.html | 130 B | HTML2 | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.