Primary intestinal type mucinous adenocarcinoma of the ovary diagnosed during pregnancy - Maternal and neonatal treatment and outcomes: A case report

The incidence of ovarian cancer during pregnancy is low. Most adnexal tumors removed during pregnancy are benign, with ovarian carcinomas found in approximately 1: 10,000-1: 50,000 pregnancies. Literature on this disease is scarce and consists mostly of retrospective studies and case reports. We rep...

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Published inFrontiers in medicine Vol. 10; p. 1138447
Main Authors Hase, Eliane Azeka, Shinohara, Henrique Norio, Alves Filho, João Alberto Garcia, Sadalla, José Carlos, Ab Saber, Alexandre Muxfeldt, Francisco, Rossana Pulcineli Vieira
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 29.03.2023
Subjects
cancer
management
Medicine
mucinous carcinoma
ovary
pregnancy
ovary
cancer
management
mucinous carcinoma
pregnancy
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Summary:The incidence of ovarian cancer during pregnancy is low. Most adnexal tumors removed during pregnancy are benign, with ovarian carcinomas found in approximately 1: 10,000-1: 50,000 pregnancies. Literature on this disease is scarce and consists mostly of retrospective studies and case reports. We report the case of a pregnant patient who presented with a primary intestinal-type mucinous adenocarcinoma of the ovary and underwent unilateral salpingo-oophorectomy, with no additional surgical or chemotherapy treatment after the histological diagnosis, despite an infiltrative stromal invasion pattern. To the best of our knowledge, no such case has been previously reported. Conservative treatment in this case of early ovarian carcinoma is possible during pregnancy and should be performed in the Department of Gynecological Oncology and Obstetrics of a tertiary referral hospital. Given the possibility of disease recurrence, such patients require strict clinical oncological surveillance, specialized prenatal care, and assistance from a multidisciplinary team to improve the maternal and perinatal outcomes.
Bibliography:Edited by: Ali Çetin, University of Health Sciences, Türkiye
This article was submitted to Obstetrics and Gynecology, a section of the journal Frontiers in Medicine
Reviewed by: Angelo Finelli, ULSS 2 Marca Trevigiana, Italy; Ricardo Reis, Barretos Cancer Hospital, Brazil
ISSN:2296-858X
2296-858X
DOI:10.3389/fmed.2023.1138447