title: [Ovarian cancer in a pregnant woman and limited treatment strategy--a case report].
abstract: We present the case of 31-year-old woman in 13th week of pregnancy with the diagnosis of the ovarian cancer (cystadenocarcinoma papillare serosum G1) in the FIGO stage Ia. Taking into consideration this data and the patient's wish of preserving the pregnancy and the childhood bearing possibility in the future we performed only left salpingooophorectomy. Postoperative and further pregnancy course was uncomplicated. The pregnancy was terminated in the 40th week by cesarean section--a well doing male newborn in term was delivered. The cesarean section was at the same time the second look procedure. All organs of peritoneal cavity were inspected--no macroscopic changes were observed, oncologic smears and specific biopsies were taken showing no neoplasmatic lesions present in the histology. Nowadays it is the 5th year of systematic patient's control, who is in complete remission. This case report is the example of the limited treatment strategy success based on prognosing factors (tumor histology, grading, staging) as well as patient's wishes of preserving the fertility.
authors.affiliation: II Katedry i Kliniki Ginekologii AM we Wrocławiu.
authors.forename: Marek
authors.initials: M
authors.lastname: Elias
authors.forename: Marian
authors.initials: M
authors.lastname: Goluda
authors.forename: Marcin
authors.initials: M
authors.lastname: Jedryka
mesh_terms: D000328:Adult; D002585:Cesarean Section; D018283:Cystadenocarcinoma, Papillary / Q000000981:diagnostic imaging / Q000601:surgery; D018284:Cystadenocarcinoma, Serous / Q000000981:diagnostic imaging / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D010052:Ovariectomy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000601:surgery; D011256:Pregnancy Outcome; D016896:Treatment Outcome; D014463:Ultrasonography