A large unilocular mucinous cystadenoma in third trimester of pregnancy

Ovarian malignancy is the second most common gynaecological malignancy diagnosed during pregnancy. A grand multipara, aged 30 years presented with gestational amenorrhea with abdominal discomfort and breathlessness for last 15 days. Sonographic examination demonstrated a huge, unilocular ovarian cys...

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Published inJournal of the College of Physicians and Surgeons--Pakistan Vol. 21; no. 7; pp. 426 - 428
Main Authors Noreen, Humera, Syed, Shazia, Chaudhri, Rizwana, Kahloon, Lubna Ejaz
Format Journal Article
LanguageEnglish
Published Pakistan 01.07.2011
Subjects
Adult
Cystadenoma, Mucinous - diagnosis
Cystadenoma, Mucinous - surgery
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - surgery
Ovariectomy - methods
Pregnancy
Pregnancy Complications, Neoplastic - diagnosis
Pregnancy Complications, Neoplastic - surgery
Pregnancy Trimester, Third
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Summary:Ovarian malignancy is the second most common gynaecological malignancy diagnosed during pregnancy. A grand multipara, aged 30 years presented with gestational amenorrhea with abdominal discomfort and breathlessness for last 15 days. Sonographic examination demonstrated a huge, unilocular ovarian cyst and an alive fetus of about 30 weeks gestation. Intraoperative findings were huge left ovarian cyst (42x40x20 cm) with straw coloured mucinous fluid. Left salpingo-oophorectomy was performed followed by peritoneal washings and omental biopsy. Histopathology revealed mucinous cystadenomas with inflammatory changes in omentum and no malignant cells in peritoneal washings. She delivered vaginally a female baby of 3.5 kg at 38 weeks with good Apgar score.
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ISSN:1681-7168