Successful pregnancies following fertility-preserving treatment for ovarian carcinoma.
BACKGROUND
A 30-year-old woman underwent a routine sonogram at 6 weeks of gestation during her first pregnancy and was found to have a 6 cm complex right-ovarian mass, thought to be a dermoid cyst. The pregnancy progressed to term and the patient went on to have a normal vaginal delivery. At 3 months postpartum, she underwent a laparoscopic ovarian cystectomy. Preoperative serum cancer antigen 125 was within the normal range at 23.6 U/ml.


METHODS
Pelvic ultrasound, evaluation of serum cancer antigen 125, abdominal and pelvic CT scans.


METHODS
Stage IA clear-cell epithelial carcinoma of the right ovary.


RESULTS
Laparoscopic ovarian cystectomy, dilation and curettage, laparotomy, right salpingo-oophorectomy, infracolic omentectomy, peritoneal biopsy, peritoneal washing, appendectomy, bilateral pelvic and para-aortic lymphadenectomy, adjuvant chemotherapy with paclitaxel and carboplatin.
Eitan
Ram
R
Gynecologic-Oncology Division at the Shaare Zedek Medical Center in Jerusalem, Israel.
Chi
Dennis S
DS
D000328:Adult; D018394:CA-125 Antigen / Q000097:blood; D002277:Carcinoma / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D010052:Ovariectomy / Q000379:methods*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy
D018394:CA-125 Antigen