Ovarian malignant immature teratoma associated with pregnancy--a case report.
We report the case of a malignant immature teratoma diagnosed at 21 weeks of amenorrhea in a 36-year-old healthy woman. Ultrasound examination showed a multilocular cystic mass of 175 mm in diameter, situated on the left side of the uterus. A left ovariectomy was performed by laparotomy at 22 weeks of amenorrhea. Histologic examination revealed a malignant grade 2 immature teratoma, and the patient underwent three courses of chemotherapy with a good pregnancy outcome. A cesarean section was carried out at 39 weeks of amenorrhea, associated with a left salpingectomy on which the pathologist examination did not find any malignant cells. The newborn had a normal aspect, and the mother was considered to be in remission after two more courses of chemotherapy..
Poujade
O
O
Service de Chirurgie Gynécologie Obstétrique, Hôpital Beaujon AP-HP, Clichy, France. olivierpoujade@hotmail.com
Pujade-Lauraine
E
E
Levardon
M
M
Luton
D
D
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D002585:Cesarean Section; D002945:Cisplatin / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D011262:Pregnancy Trimester, Second; D013724:Teratoma / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D016216:Ultrasonography, Prenatal
D005047:Etoposide; D002945:Cisplatin