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Thecoma associated with pregnancy: a case report.

F F Yanik1, E Kuşçu, D Eroğlu

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Başkent University Faculty of Medicine, Ankara, Turkey.

European Journal of Gynaecological Oncology
|January 9, 2008
PubMed
Summary
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This case report details a rare ovarian thecoma diagnosed during pregnancy. Surgical removal at 19 weeks gestation allowed the pregnancy to continue to term uneventfully.

Area of Science:

  • Gynecologic Oncology
  • Reproductive Endocrinology
  • Surgical Pathology

Background:

  • Ovarian thecoma is a rare sex-cord stromal tumor.
  • Diagnosis and management during pregnancy present unique challenges.
  • Timely intervention is crucial for maternal and fetal well-being.

Observation:

  • A solid ovarian mass was detected in a pregnant patient.
  • The patient underwent surgery at 19 weeks gestation due to tumor torsion and ascites.
  • A unilateral salpingo-oophorectomy was performed.

Findings:

  • Pathological examination confirmed a luteinized thecoma.
  • The surgical intervention successfully resolved the acute complications.
  • Post-operative recovery was uneventful.

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Implications:

  • This case highlights the feasibility of surgical management for ovarian thecomas during pregnancy.
  • Early diagnosis and intervention can lead to favorable outcomes for both mother and fetus.
  • Further research into the management of rare ovarian neoplasms in pregnancy is warranted.