Oncology and Fibroids
An ovarian TUMOUR was identified in immediate post parium period, the timing of surgery will be: (AIPG 2010)
|A||Immediately after delivery|
|D|| 3 mths|
Immediately after delivery
1. Treatment of ovarian tumour in pregnancy depending on time of pregnancy:
2. During pregnancy
3. In an uncomplicated case, the best time of elective operation is b/w 14-18wks as chances of abortion are less and access to the pedicle is easy. But if the tumour is diagnosed beyond 36 weeks, tumour is removed early in puerperium.
4. During labour
5. If the tumour is above the presenting part watchful expectancy is followed but if its impacted in pelvis, caesarian section should be done followed by removal of tumour in same setting.
6. During puerperium
7. The tumour should be removed as early in puerperium as possible.