If there is cyst in early pregnancy, dynamic observation can be made when the condition is stable and there is no malignant tendency, and surgery is needed as early as possible when malignant tumor is considered.
In early pregnancy, when gynecological examination or ultrasonography suggests adnexal cysts, and malignant tendency is excluded by tumor markers such as carcinoembryonic antigen, alpha-fetoprotein and sex hormone, dynamic observation can be carried out in accordance with the doctor’s instruction, avoiding strenuous exercise, and reviewing on time to find out whether the cysts grow or not, and surgery can be carried out after 12 weeks’ gestation for cysts that are large in size and tend to increase in size.
However, when the tumor marker test suggests the diagnosis of adnexal cysts or the consideration of malignant tumors, it is necessary to follow the medical advice of early surgical treatment, first of all, to terminate the pregnancy, and to carry out surgical pathological staging, according to the type of histology, the degree of cellular differentiation and the size of residual foci to determine the need to receive adjuvant chemotherapy.
Cysts in early pregnancy should be treated accordingly under medical supervision.