Ovarian carcinoma, endometrial carcinoma, and pregnancy.

Abstract

A 31-year-old G1 P0 patient with a history of infertility presented with light spotting and cramping at the end of her first trimester. An ultrasonogram at 19 weeks gestation revealed an intrauterine gestation of 21 weeks, a large leiomyoma, and a 8.9 x 6.8 cm complex left ovarian mass. At 35 weeks gestation she had an emergency cesarean section and left salpingo-oophorectomy due to a presumed ruptured ovarian mass. The ovarian mass was diagnosed as a serous cystadenocarcinoma. An exploratory laparotomy with a total abdominal hysterectomy, a right salpingo-oophorectomy, omental biopsy, and periaortic node sampling at 9 weeks postpartum revealed a diagnosis of stage IC ovarian serous cystadenocarcinoma and a stage IA secretory endometrial adenocarcinoma. Adjunctive 32P therapy was successfully administered and at this time the patient has had no recurrence.

• Authors: D L Foersterling, J G Blythe
• Journal: Gynecologic oncology (Gynecol Oncol) Vol. 72 Issue 3 Pg. 425-6 (Mar 1999) ISSN: 0090-8258 [Print] United States
• PMID: 10053118 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 1999 Academic Press.

Topics

• Adenocarcinoma (surgery)
• Adult
• Cesarean Section
• Cystadenocarcinoma, Serous (surgery)
• Endometrial Neoplasms (surgery)
• Fallopian Tubes (surgery)
• Female
• Humans
• Hysterectomy
• Neoplasms, Second Primary (surgery)
• Ovarian Neoplasms (surgery)
• Ovariectomy
• Pregnancy
• Pregnancy Complications, Neoplastic (surgery)