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master's thesis
Tumori jajnika u trudnoći
Zagreb: University of Zagreb, School of Medicine, 2017. urn:nbn:hr:105:656630
Frangen, Daria
University of Zagreb
School of Medicine
Department of Gynecology and Obstetrics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Frangen, D. (2017). Tumori jajnika u trudnoći (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:656630

Frangen, Daria. "Tumori jajnika u trudnoći." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:656630

Frangen, Daria. "Tumori jajnika u trudnoći." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:656630

Frangen, D. (2017). 'Tumori jajnika u trudnoći', Master's thesis, University of Zagreb, School of Medicine, accessed 23 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:656630

Frangen D. Tumori jajnika u trudnoći [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2017 [cited 2024 November 23] Available at: https://urn.nsk.hr/urn:nbn:hr:105:656630

D. Frangen, "Tumori jajnika u trudnoći", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:105:656630

Metadata
TitleTumori jajnika u trudnoći
Title (english)Ovarian tumors in pregnancy
AuthorDaria Frangen
MentorBerivoj Mišković (mentor)
Committee memberSlavko Orešković (predsjednik povjerenstva)
Committee memberDinka Pavičić-Baldani (član povjerenstva)
Committee memberBerivoj Mišković (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Zagreb
Defense date and country2017-07-14, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Tumori jajnika u trudnoći su rijetki, a učestalost im se kreće od 0.3-5.4%. Najčešće se radi o dobroćudnim promjenama kao što su funkcionalne ciste jajnika ili benigni tumori jajnika. Većina benignih promjena u trudnoći manje su od 6 cm i obično ne predstavljaju zaprjeku normalnom vaginalnom porođaju. Dijagnozu tumora jajnika u trudnoći postavljamo na temelju fizikalnog nalaza, laboratorijskih nalaza i slikovnih metoda. Ultrazvuk je zlatni standard za dijagnozu tumora jajnika, međutim ima nisku specifičnost u procjeni maligniteta ovarijskog tumora. Zdjelična magnetska rezonancija može dodati važne dijagnostičke informacije o procjeni maligniteta i topografije tumora. Liječenje treba biti izrazito individualizirano, a ovisi o prikupljenim dijagnostičkim informacijama, sumnji na malignitet te procjeni rizika od torzije, rupture ili krvarenja. Torzija predstavlja glavnu akutnu komplikaciju tumora jajnika u trudnoći te zahtijeva hitno kirurško liječenje. Kirurške metode koje se koriste u liječenju tumora jajnika su laparotomija i laparoskopija, a odabir metode ovisi o veličini tumora , procjeni maligniteta i trajanju trudnoće. Obje kirurške metode povećavaju rizik od opstetričkih komplikacija što se prvenstveno odnosi na kasni pobačaj i rani prijevremeni porođaj. Ukoliko postoji indikacija, najbolje je kirurški tumor ukloniti oko 18. tjedna trudnoće jer je rizik za pobačaj u toj dobi relativno malen. Ukoliko je postavljena sumnja na malignitet tada se kiruršku i drugu terapiju može započeti i ranije.
Abstract (english)
Ovarian tumors in pregnancy are rare and their incidence ranges from 0.3 to 5.4%. Most commonly, they are benevolent masses such as functional ovarian cysts or benign ovarian tumors. Most benign masses in pregnancy measure less than 6 cm in diameter and usually do not represent an obstruction in labour. The diagnosis of ovarian tumors in pregnancy is based on physical findings, laboratory results and imaging methods. Ultrasound is the golden standard for the diagnosis of ovarian tumors, but it has low specificity in evaluating malignancy. Pelvic magnetic resonance can add important information on evaluation of malignancy and tumor topography. Treatment should be highly individualized, depending on the collected diagnostic information, suspicion of malignancy and estimated risk of torsion, rupture or bleeding. Torsion is the main acute complication of ovarian tumors in pregnancy and requires urgent surgical treatment. The surgical methods used are laparotomy and laparoscopy, and the choice of method depends on the size of the tumor, the estimation of malignancy and the duration of pregnancy. Both surgical methods increase the risk of obstetrical complications, such as late abortion and premature birth. If there is an indication, it is best to surgically remove the tumor at about 18 weeks of pregnancy because the risk of abortion at that time is relatively small. If there is a suspicion of malignancy then surgical and other therapy may be initiated earlier.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:656630
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-01-10 11:52:10