What does an ovarian mass in pregnancy indicate?
Further tests to know nature of tumor
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The possibility of detecting an ovarian mass or lesion during routine imaging for pregnancy is around 2 to 10 % in various populations. As mentioned inyour MRI report, there is a 19.9 x 18.1 cms cystic mass (fluid filled) in your lower abdomen/ pelvis which is showing septations. This looks like a tumor originating from the oravy or its attachments. In most patients these tumors are harmless and allowed to stay within until the time of delivery when it can be treated. However any malignant tumor needs urgent attention. Because of the size of the mass you cannot rule out malignancy as any tumor more than 10 cms is suspected for malignancy. Its important to know when you first felt this swelling in the past and how large was it at that time. This may give an idea about the progressive growth of the tumor and what are the chances for a malignancy. There are also blood tests like CA-125 which can be done to know the probability of the tumor being malignant.
If the tumor is benign it can be left until delivery for treatment and you may get ultrasound scan of the tumor done regularly when getting the fetus scanned.
If any malignancy is confirmed by tests and surgical treatment advised then the best time to do such a surgery is from 14 to 22 weeks.
Please discuss this in detail with your gynecologist and you may also like to take clinical opinion from more that one doctors of your choice.
Hope your query is answered.
Do write back if you have any further doubts.
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