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.
Department of Obstetrics and Gynecology, St. Louis, Missouri, 63141, USA.
D L
DL
Foersterling
J G
JG
Blythe
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*