Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach

Background: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-...

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Main Authors: Ana Isabel Bueno Moral, Jose Carlos Vilches Jiménez, Adriana Serrano Olave, María Pilar Espejo Reina, María Estrella Valdivia de Dios, Jesús S. Jiménez López
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/5/426
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author Ana Isabel Bueno Moral
Jose Carlos Vilches Jiménez
Adriana Serrano Olave
María Pilar Espejo Reina
María Estrella Valdivia de Dios
Jesús S. Jiménez López
author_facet Ana Isabel Bueno Moral
Jose Carlos Vilches Jiménez
Adriana Serrano Olave
María Pilar Espejo Reina
María Estrella Valdivia de Dios
Jesús S. Jiménez López
author_sort Ana Isabel Bueno Moral
collection DOAJ
description Background: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-old pregnant patient with a known adnexal tumour occurring at week 20 and enlarged supraclavicular lymph nodes of 3 cm size who was diagnosed with metastases from low-grade papillary serous ovarian carcinoma. The patient, obstetricians, neonatologists and oncologists agreed on initiating neoadjuvant chemotherapy and performing an elective C-section at week 34. She gave birth to a female infant weighing 2040 g who is currently in good health, and continues receiving follow-up care by a medical oncologist. Conclusions. An early diagnosis of gynaecologic malignancies during pregnancy is of critical importance because, although they are very rare, managing and treating carcinomas at an early stage allow us to increase maternal and fetal well-being and to offer more alternatives to our patients.
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spelling doaj.art-babdc17c496c4d5bbc7518be0250cf5d2023-11-21T17:33:23ZengMDPI AGMedicina1010-660X1648-91442021-04-0157542610.3390/medicina57050426Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment ApproachAna Isabel Bueno Moral0Jose Carlos Vilches Jiménez1Adriana Serrano Olave2María Pilar Espejo Reina3María Estrella Valdivia de Dios4Jesús S. Jiménez López5Department of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainDepartment of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainDepartment of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainDepartment of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainDepartment of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainDepartment of Obstetrics and Gynaecology, Regional University Hospital, 29011 Málaga, SpainBackground: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-old pregnant patient with a known adnexal tumour occurring at week 20 and enlarged supraclavicular lymph nodes of 3 cm size who was diagnosed with metastases from low-grade papillary serous ovarian carcinoma. The patient, obstetricians, neonatologists and oncologists agreed on initiating neoadjuvant chemotherapy and performing an elective C-section at week 34. She gave birth to a female infant weighing 2040 g who is currently in good health, and continues receiving follow-up care by a medical oncologist. Conclusions. An early diagnosis of gynaecologic malignancies during pregnancy is of critical importance because, although they are very rare, managing and treating carcinomas at an early stage allow us to increase maternal and fetal well-being and to offer more alternatives to our patients.https://www.mdpi.com/1648-9144/57/5/426pregnancyovarian cancerchemoradiationcancersurgery
spellingShingle Ana Isabel Bueno Moral
Jose Carlos Vilches Jiménez
Adriana Serrano Olave
María Pilar Espejo Reina
María Estrella Valdivia de Dios
Jesús S. Jiménez López
Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
Medicina
pregnancy
ovarian cancer
chemoradiation
cancer
surgery
title Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_full Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_fullStr Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_full_unstemmed Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_short Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_sort advanced ovarian cancer during pregnancy tumour evolution analysis and treatment approach
topic pregnancy
ovarian cancer
chemoradiation
cancer
surgery
url https://www.mdpi.com/1648-9144/57/5/426
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