title: Stage I ovarian cancer cases during early, mid and late pregnancy periods: three case reports and review of the literature.
abstract: Since ovarian cancer during pregnancy is rare, the decisions regarding pregnancy discontinuation or fertility preservation are often difficult. We report three ovarian cancer cases detected at early, mid and late pregnancy periods in which both babies and mothers were saved. In particular, case 2 is the first reported instance of a sertoliform endometrioid carcinoma of the ovary during pregnancy. In addition, we review the clinical characteristics of previously reported patients with stage I ovarian cancer diagnosed during pregnancy. Even with stage Ia ovarian cancer, restaging laparotomy at cesarean section or post-delivery may be important to determine the treatment plan because staging during pregnancy is rarely complete.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama, Toyama, Japan. hase10@med.u-toyama.ac.jp
authors.forename: Toru
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ishii
authors.forename: Rika
authors.initials: R
authors.lastname: Yonezawa
authors.forename: Noriko
authors.initials: N
authors.lastname: Yoneda
authors.forename: Tomoko
authors.initials: T
authors.lastname: Shima
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Nakashima
authors.forename: Takao
authors.initials: T
authors.lastname: Hidaka
authors.forename: Shigeru
authors.initials: S
authors.lastname: Saito
mesh_terms: D000328:Adult; D005260:Female; D059247:Fertility Preservation / Q000523:psychology; D006801:Humans; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000523:psychology; D010358:Patient Participation / Q000523:psychology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology* / Q000523:psychology / Q000628:therapy; D011264:Pregnancy Trimesters; D011296:Prenatal Diagnosis / Q000523:psychology; D011379:Prognosis