A 10 cm ovarian cyst is detected incidentally in an 8 week pregnant woman; management:: (A) Immediate removal by laparotomy, (B) CT to rule out malignancy and secondaries, (C) Second trimester surgery, (D) Remove at time of cesarean section
Answer is C. For ovarian cysts >=10 cm, because of the substanial risk of malignancy, torsion, or labor obstruction, surgical removal is reasonable option. Surgery is preferably done in the second trimester.