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Borderline Ovarian Tumor during Pregnancy: A Case Report
Joao Casanova1, Raquel Maciel, Vânia Ferreira
1Department of Obstetrics and Gynecology, Porto Hospital Center, Porto 4050-371, Portugal.
Case Reports in Obstetrics and Gynecology
|May 11, 2013
Summary
This case study details a borderline mucinous ovarian tumor found in a pregnant woman. Surgical management involved a salpingo-oophorectomy during the first trimester, highlighting treatment considerations for ovarian tumors during pregnancy.
Area of Science:
- Gynecology
- Obstetrics
- Oncology
Background:
- Borderline mucinous ovarian tumors are rare but carry a good prognosis.
- Management of ovarian tumors during pregnancy presents unique challenges.
- Ovarian tumors of low malignant potential account for 10%-20% of ovarian malignancies.
Purpose of the Study:
- To report a case of a borderline mucinous ovarian tumor diagnosed during early pregnancy.
- To discuss surgical management and timing for ovarian tumors in pregnant patients.
- To highlight the importance of fertility-sparing options in managing ovarian neoplasms during gestation.
Main Methods:
- Diagnosis via first-trimester ultrasound and MRI.
- Surgical intervention: laparotomy with right salpingo-oophorectomy at 14 weeks gestation.
- Histopathological confirmation: frozen section and definitive histology.
Main Results:
- A multilocular solid ovarian mass was identified.
- Histology confirmed a borderline mucinous ovarian tumor.
- Unilateral salpingo-oophorectomy was performed successfully during pregnancy.
Conclusions:
- Borderline mucinous ovarian tumors can be managed surgically during pregnancy.
- Unilateral salpingo-oophorectomy is a viable fertility-sparing option.
- Further research is needed on optimal surgical timing for ovarian tumors during pregnancy.
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