A case of primary ovarian pregnancy.
This report describes a 40-year-old woman with primary ovarian pregnancy which was mistaken clinically and grossly for germ cell tumor of the ovary, since it was associated with a high level of serum alpha-fetoprotein (278 ng/ml) and with excretion of urinary hCG (1 000 IU/l). The ovarian mass measured 10 X 10 X 11 cm, and weighed 215 g. Total hysterectomy and bilateral salpingo-oophorectomy were performed. The bisected specimen revealed a centrally located macerated fetus with a crown - rump length of 3.5 cm.
D000328:Adult; D002369:Castration; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010051:Ovarian Neoplasms / Q000150:complications / Q000473:pathology; D010053:Ovary / Q000473:pathology*; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography