Ultrasound-guided ovarian cyst aspiration in pregnancy

<正> Ovarian cysts in pregnancy if symptomatic may require treatment because of the risks oftorsion,rupture and obstructed labour.There is also a risk that such cysts are neoplastic and thereforepotentially malignant.These lesions ate a management dilemma because of the risks of surgery to bothmother and fetus.Ultrasound-guided ovarian cyst aspiration is being increasingly recognized as a meansof diagnosing and treating ovarian cysts in the non-pregnant patient.There are few published reports onits use in pregnant patients.We report the results of 14 ultrasound guided cyst aspirations in 12 pregnantpatients.The technique and results are dicussed.Two of the 12 cysts(17%)were eventually found to bedue to neoplasms and one of these showed borderline malignancy at histology.Therefore,all cysts must beassessed to ensure that they have benign characteristics,and if not we would recommend these cysts beconsidered for surgery in the second trimester.There were no complications and all the pregnaeies pro-ceeded to term with normal deliveries.It is concluded that ultrasound-guided needle aspiration of ovariancysts can be simply and safely performed in pregnancy.