Pregnancy Luteoma Research Paper

INTRODUCTION

Pregnancy luteomas are benign tumor-like proliferations of the ovary. They are thought to be asymptomatic tumors caused by the hormonal effects of pregnancy (hCG-induced proliferations of luteinized ovarian stromal cells), mostly found in multiparous women. They are usually found incidentally by imaging or during surgery (especially in cesarean section). Although, they are generally recognized incidentally; they may have clinical presentations like of the mother and/or the child; may have complications caused by mass effect and/or hemorrhage because of torsion. Luteomas usually regress within days after birth/delivery. In rare cases, pregnancy luteomas occur in following pregnancies. The diagnosis is made by excisional biopsy

As they are oxyphilic solid masses of the ovary microscopically, ıt is usually easy to diagnose luteomas. But the differential diagnosis can be challenging with a steroid cell tumor, another rare lesion, especially in the intraoperative consultation when it is unilateral and not multinodular. Solid primary neoplasms composed partially or entirely of luteinized cells, like thecomas and granulosa tumors, are also included the differential

Even for this benign lesion, directing the surgeon properly is very important in intraoperative consultation, because clinical monitoring and postpartum radiologic follow-up is the appropriate management strategy for pregnancy luteoma. Only in some cases with atypical presentation or with complications due to mass, surgical intervention may be necessary for diagnostic or management purposes. For that reason, recognizing an unexpected malignancy within this benign lesion, which requires no futher surgery, is also another trap for the pathologist cause it’s going to change whole direction of the