2018 Volume 70 Issue 2 Pages 89-96
The incidence of ovarian malignant tumors during pregnancy are reported as 1/50,000 pregnancies. There is no consensus about treatment of ovarian cancer during pregnancy. We report a rare case of ovarian cancer during pregnancy. The patient was a 38-year-old gravida 0, and right ovarian solid tumor was found in her pelvis at 12 weeks’ gestation. She was introduced to our hospital for the purpose of close inspection medical treatment. We considered an ovarian malignant tumor by MRI image. Right salpingo-oophorectomy and omentectomy were performed at 16 weeks’ gestation, and the pathological diagnosis was serous carcinoma FIGO stage IC3 (pT1cNxM0). She received four courses of TC regimen (paclitaxel, carboplatin) from second trimester. Elective cesarean section and staging laparotomy were performed for pregnancy 37 weeks. The child was born at weight of 2282g, Apgar score was 9/10, and a deformity wan’t found. By the pathological diagnosis, the lesion of the viable cancer was pointed in the left ovary microscopically only. So finally pathological diagnosis was serous carcinoma, ypT1bN0M0. She received three courses of TC as adjuvant chemotherapy. And now she is alive with no evidence of disease and the growth of the child is well being after one year from the treatment. [Adv Obstet Gynecol, 70 (2) : 89-96, 2018 (H30.5)]
