Ovarian thecoma associated in the first trimester of pregnancy.

Abstract

Ovarian thecoma is a relatively rare tumor which occurs before and after menopause. It is extremely rare that pregnancy is complicated with thecoma. Diagnosis of ovarian tumors during pregnancy is highly problematic due to difficulties in obtaining clinical manifestations, and treatment of these tumors poses an even greater challenge. Our patient was found to have estrogen-producing thecoma accompanied by accumulation of ascites in an early phase of pregnancy. The patient underwent abdominal surgery to remove the tumor on the 13th week of gestation. This resulted in disappearance of the ascites and a favorable clinical course. Diagnosis and treatment of ovarian thecoma occurring during pregnancy are discussed with relevant references.

• Authors: Ikuko Okada, Shoko Nakagawa, Yuriko Takemura, Takashi Takenobu, Tatsunari Matsuoka, Hiroyuki Mandai, Tadashi Takemura
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 30 Issue 5 Pg. 368-71 (Oct 2004) ISSN: 1341-8076 [Print] Australia
• PMID: 15327450 (Publication Type: Case Reports, Journal Article)

Chemical References

• CA-125 Antigen
• Estrogens

Topics

• Adult
• Ascites
• CA-125 Antigen (blood)
• Estrogens (biosynthesis)
• Female
• Gestational Age
• Humans
• Infant, Newborn
• Magnetic Resonance Imaging
• Male
• Ovarian Neoplasms (diagnosis, metabolism, surgery)
• Pregnancy
• Pregnancy Complications, Neoplastic (diagnosis)
• Pregnancy Outcome
• Pregnancy Trimester, First
• Thecoma (diagnosis, metabolism, surgery)
• Treatment Outcome