Pregnancy With Bilateral Metastatic Ovarian Tumour

Area of Science:

• Gynecologic Oncology
• Gastroenterology
• Reproductive Medicine

Background:

• Metastatic ovarian tumors are rare, with gastric cancer being the most common primary site, forming Krukenberg tumors.
• Krukenberg tumors constitute 1-2% of all malignant ovarian neoplasms.
• The occurrence of Krukenberg tumors during pregnancy is exceptionally rare.

Observation:

• A 14-week pregnant patient presented with bilateral malignant ovarian tumors.
• Diagnosis was established using ultrasound imaging.
• Tumor markers were found to be insignificant.

Findings:

• The patient underwent staging laparotomy, including total abdominal hysterectomy, bilateral salpingo-oophorectomy, and partial omentectomy.
• Hematemesis was noted, and upper gastrointestinal endoscopy revealed a suspicious gastric growth.
• Gastric biopsy, however, excluded malignancy, necessitating further oncological management.

Implications:

• This case underscores the importance of considering metastatic disease in pregnant patients with ovarian masses, even with non-specific symptoms.
• Multidisciplinary management involving gynecologic oncologists, gastroenterologists, and oncologists is crucial for optimal patient care.
• Further investigation may be warranted to elucidate the etiology of the gastric lesion despite negative biopsy results.