This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
An ovarian cyst is detected in a pregnant woman, management is: 
Select and explain. 
A. Immediate removal by laprotomy, B. Wait and watch, C. Removal by laparotomy in second trimester, D. Remove at time of cesarean section
C: Removal by laparotomy in second trimester
Answer: C: Removal by laparotomy in second trimester 
Explanation: The principle is to remove the tumor once the diagnosis is made. The best time of elective operation is between 14th to 18th week, as the chance of aboion is less & access to pedicle is easy. Ref: A of Laparoscopic Surgery Textbook and Atlas (2 Vol) By Palanivelu, Page 144 ; Textbook of Obstetrics By D.C.Dutta, 5th Edition, Page 329