BORDERLINE OVARIAN TUMOR AND PREGNANCY
We present a case of a 26 year-old pregnant woman, who was diagnosed a serous borderline tumor of the ovary, two years ago. CA 125, CA 19-9 and HE4 was within the normal range values. A Cystectomy was performed, where too histopathological diagnosis was decided. The patient was informed in detail...
| Huvudupphovsmän: | , , |
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| Materialtyp: | Artikel |
| Språk: | English |
| Publicerad: |
Amaltea Medical Publishing House
2019-03-01
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| Serie: | Romanian Journal of Medical Practice |
| Ämnen: | |
| Länkar: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2019-Nr.1/RJMP_2019_1_Art-13.pdf |
| Sammanfattning: | We present a case of a 26 year-old pregnant woman, who was diagnosed a serous borderline tumor of the
ovary, two years ago. CA 125, CA 19-9 and HE4 was within the normal range values. A Cystectomy was
performed, where too histopathological diagnosis was decided. The patient was informed in detail about the
nature of the disease and the treatment methods, and was assigned the time of surgical intervention
(unilateral salpingo-oophorectomy with staging has been recommended), she does not accept any treatment
method. After a year of follow-up with tumor markers, an exploratory laparoscopy with ovarian biopsy was
performed. Left ovary was without histopathological changes, while the right ovary had histopathological
changes for serous borderline tumor of the ovary, but without storm invasion. She decided for surgery.
Fifteen days before surgery, she is presented for a routine visit, where pregnancy was confirmed. She was
informed about potential risk, but categorically decided to continue the pregnancy. During pregnancy, there
was no complication. She is presented for birth at 39+5 weeks of gestation. Due to obstetric status, which is
not conducive to vaginal delivery and previous diagnoses, in co-think with the patient, it is decided that
birth should be performed with Caesarean section. During a C - section, both ovaries are inspected, there are no macroscopic changes. Biopsy was obtained in both ovaries. The result was the same as two years ago.
Because of the scarce studies, it is difficult to know which are the best management practices and especially
to women who desire childbearing. |
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| ISSN: | 1842-8258 2069-6108 |