Premium
Mucinous cystadenocarcinoma in pregnancy.
Author(s) -
DESSEL T.,
HAMEETEMAN T. M.,
WAGENAAR Sj. Sc.
Publication year - 1988
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1988.tb12812.x
Subject(s) - obstetrics and gynaecology , medicine , gynecology , general hospital , obstetrics , general surgery , pregnancy , genetics , biology
A 36-year-old white European woman, gravida 4, para 3, was referred to our hospital a t 17 weeks gestation. Previous medical and obstetric history was unremarkable. Bimanual pelvic examination revealed a large mass arising from the right adnexa. Ultrasound scan showed a normal fetus with biparietal diameter just below the 50th centile. There were no apparent malformations. A large multiple cystic mass was visible in the right lower quadrant of the abdomen. Laboratory studies, including hormone assays, were normal. Laparotomy was undertaken which showed a cystic mass i n the right ovary, about 12cm i n diameter. Right oophorectomy was performed. Histological examination of a frozen section of the right ovary revealed malignancy. The left ovary, liver and onientum were grossly normal. Thcre was no apparent incrcase in pcritoneal fluid. Peritoneal washings for cytology were done. Examination of the collected fluid showed no malignant cells. The carcinoma scemcd to be confined to the right ovary and no evidence of metastatic disease was found. The operation was therefore limited to right oophorectomy. Definitive surgical staging, including hysterectomy and left salpingooophorectomy, was planned after delivery.