Ovarian thecoma associated in the first trimester of pregnancy.
Ovarian thecoma is a relatively rare tumor which occurs before and after menopause. It is extremely rare that pregnancy is complicated with thecoma. Diagnosis of ovarian tumors during pregnancy is highly problematic due to difficulties in obtaining clinical manifestations, and treatment of these tumors poses an even greater challenge. Our patient was found to have estrogen-producing thecoma accompanied by accumulation of ascites in an early phase of pregnancy. The patient underwent abdominal surgery to remove the tumor on the 13th week of gestation. This resulted in disappearance of the ascites and a favorable clinical course. Diagnosis and treatment of ovarian thecoma occurring during pregnancy are discussed with relevant references.
Department of Obstetrics and Gynecology, Fuchu Hospital, Osaka 642-0002, Japan. ikko-1005@tiara.ocn.ne.jp
Ikuko
I
Okada
Shoko
S
Nakagawa
Yuriko
Y
Takemura
Takashi
T
Takenobu
Tatsunari
T
Matsuoka
Hiroyuki
H
Mandai
Tadashi
T
Takemura
D000328:Adult; D001201:Ascites; D018394:CA-125 Antigen / Q000097:blood; D004967:Estrogens / Q000096:biosynthesis; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000378:metabolism / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D013798:Thecoma / Q000175:diagnosis* / Q000378:metabolism / Q000601:surgery; D016896:Treatment Outcome
D018394:CA-125 Antigen; D004967:Estrogens