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Ovarian neoplasms and pregnancy
S Rakic1, B Nikolic, S Dragojevic-Dikic
1Obstetric Department, University Clinic Narodni Front, University School of Medicine, Belgrade, Serbia and Montenegro. dariov@eunet.yu
Summary
This study investigated ovarian cancer in pregnancy, finding a 13.5% incidence. Management balances cancer treatment with preserving reproductive capabilities, often using minimally invasive surgery for benign cases.
Area of Science:
- Obstetrics and Gynecology
- Oncology
Background:
- Ovarian neoplasms during pregnancy present diagnostic and therapeutic challenges.
- Balancing oncologic treatment with reproductive preservation is a critical ethical consideration.
Purpose of the Study:
- To determine the incidence of ovarian malignant neoplasms in pregnant patients.
- To explore management strategies for ovarian neoplasms in pregnancy, considering patient wishes and reproductive potential.
Main Methods:
- Prospective study over 2 years involving 37 pregnant women.
- Diagnosis via ultrasound criteria and physical examinations.
- Statistical analysis using Student t test.
Main Results:
- Incidence of ovarian cancer was 13.5% in the study cohort.
- Mean gestational age at diagnosis was 20.1 weeks; mean patient age was 31.1 years.
- Benign neoplasms were treated with minimally invasive laparoscopic procedures.
Conclusions:
- Ovarian cancer incidence in pregnancy may be higher than previously reported.
- Treatment decisions for ovarian neoplasms in pregnancy require individualized approaches.
- Minimally invasive surgery is effective for benign ovarian neoplasms during pregnancy.