Ovarian carcinoma, endometrial carcinoma, and pregnancy.
A 31-year-old G1 P0 patient with a history of infertility presented with light spotting and cramping at the end of her first trimester. An ultrasonogram at 19 weeks gestation revealed an intrauterine gestation of 21 weeks, a large leiomyoma, and a 8.9 x 6.8 cm complex left ovarian mass. At 35 weeks gestation she had an emergency cesarean section and left salpingo-oophorectomy due to a presumed ruptured ovarian mass. The ovarian mass was diagnosed as a serous cystadenocarcinoma. An exploratory laparotomy with a total abdominal hysterectomy, a right salpingo-oophorectomy, omental biopsy, and periaortic node sampling at 9 weeks postpartum revealed a diagnosis of stage IC ovarian serous cystadenocarcinoma and a stage IA secretory endometrial adenocarcinoma. Adjunctive 32P therapy was successfully administered and at this time the patient has had no recurrence.
Foersterling
D L
DL
Department of Obstetrics and Gynecology, St. Louis, Missouri, 63141, USA.
Blythe
J G
JG
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D002585:Cesarean Section; D018284:Cystadenocarcinoma, Serous / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D016609:Neoplasms, Second Primary / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*