Ovarian endometroid adenocarcinoma in pregnancy

Background. Ovarian cancer is very rare in pregnancy. It is mainly of epithelial origin, low grade and low malignant potential. Case report. We presented a patient in which ultrasound confirmed the presence of clearly limited tumor in the left ovary when she was eight weeks pregnant. The results of...

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Main Authors: Živanović Aleksandar, Dimitrijević Aleksandra, Kastratović Tatjana, Đurić Janko, Stanković Vesna, Tanasković Irena
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2011-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501102181Z.pdf
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author Živanović Aleksandar
Dimitrijević Aleksandra
Kastratović Tatjana
Đurić Janko
Stanković Vesna
Tanasković Irena
author_facet Živanović Aleksandar
Dimitrijević Aleksandra
Kastratović Tatjana
Đurić Janko
Stanković Vesna
Tanasković Irena
author_sort Živanović Aleksandar
collection DOAJ
description Background. Ovarian cancer is very rare in pregnancy. It is mainly of epithelial origin, low grade and low malignant potential. Case report. We presented a patient in which ultrasound confirmed the presence of clearly limited tumor in the left ovary when she was eight weeks pregnant. The results of 4D Color Doppler showed a central type of tumor vascularisation with resistance index (IR) less than 0.5. The Consultancy Board in Gynecology of the Institute for Oncology and Radiology of Serbia decided to remove the patient's left adnexa and intensively monitor the pregnancy period. The operation (Adnexectomia lateralis sinistra) was performed at 18th week of gestation. Histopathological analysis showed adenocarcinoma invasivum, endometroid well-differentiated type (histological grade I, nuclear grade 2). In 37th week of gestation, the patient gave birth to a male child by cesarean section. In the next 3 years the patient had no subjective interference, laboratory tests and ultrasonographic findings were normal. Conclusion. Ovarian cancer in pregnancy is usually asymptomatic and diagnosed during routine clinical and ultrasound examination. The color Doppler technique have particular importance in the diagnosis of pathological blood supply in tumors and in indication of malignant ovarian mass.
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spelling doaj.art-f6a0f2a7134e4d17b5d28b45fbf92c092022-12-21T19:56:19ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502011-01-0168218118410.2298/VSP1102181ZOvarian endometroid adenocarcinoma in pregnancyŽivanović AleksandarDimitrijević AleksandraKastratović TatjanaĐurić JankoStanković VesnaTanasković IrenaBackground. Ovarian cancer is very rare in pregnancy. It is mainly of epithelial origin, low grade and low malignant potential. Case report. We presented a patient in which ultrasound confirmed the presence of clearly limited tumor in the left ovary when she was eight weeks pregnant. The results of 4D Color Doppler showed a central type of tumor vascularisation with resistance index (IR) less than 0.5. The Consultancy Board in Gynecology of the Institute for Oncology and Radiology of Serbia decided to remove the patient's left adnexa and intensively monitor the pregnancy period. The operation (Adnexectomia lateralis sinistra) was performed at 18th week of gestation. Histopathological analysis showed adenocarcinoma invasivum, endometroid well-differentiated type (histological grade I, nuclear grade 2). In 37th week of gestation, the patient gave birth to a male child by cesarean section. In the next 3 years the patient had no subjective interference, laboratory tests and ultrasonographic findings were normal. Conclusion. Ovarian cancer in pregnancy is usually asymptomatic and diagnosed during routine clinical and ultrasound examination. The color Doppler technique have particular importance in the diagnosis of pathological blood supply in tumors and in indication of malignant ovarian mass.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501102181Z.pdfcarcinoma, endometrioidpregnancydiagnosistreatment outcome
spellingShingle Živanović Aleksandar
Dimitrijević Aleksandra
Kastratović Tatjana
Đurić Janko
Stanković Vesna
Tanasković Irena
Ovarian endometroid adenocarcinoma in pregnancy
Vojnosanitetski Pregled
carcinoma, endometrioid
pregnancy
diagnosis
treatment outcome
title Ovarian endometroid adenocarcinoma in pregnancy
title_full Ovarian endometroid adenocarcinoma in pregnancy
title_fullStr Ovarian endometroid adenocarcinoma in pregnancy
title_full_unstemmed Ovarian endometroid adenocarcinoma in pregnancy
title_short Ovarian endometroid adenocarcinoma in pregnancy
title_sort ovarian endometroid adenocarcinoma in pregnancy
topic carcinoma, endometrioid
pregnancy
diagnosis
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501102181Z.pdf
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AT dimitrijevicaleksandra ovarianendometroidadenocarcinomainpregnancy
AT kastratovictatjana ovarianendometroidadenocarcinomainpregnancy
AT đuricjanko ovarianendometroidadenocarcinomainpregnancy
AT stankovicvesna ovarianendometroidadenocarcinomainpregnancy
AT tanaskovicirena ovarianendometroidadenocarcinomainpregnancy