title: A large unilocular mucinous cystadenoma in third trimester of pregnancy.
abstract: Ovarian malignancy is the second most common gynaecological malignancy diagnosed during pregnancy. A grand multipara, aged 30 years presented with gestational amenorrhea with abdominal discomfort and breathlessness for last 15 days. Sonographic examination demonstrated a huge, unilocular ovarian cyst and an alive fetus of about 30 weeks gestation. Intraoperative findings were huge left ovarian cyst (42x40x20 cm) with straw coloured mucinous fluid. Left salpingo-oophorectomy was performed followed by peritoneal washings and omental biopsy. Histopathology revealed mucinous cystadenomas with inflammatory changes in omentum and no malignant cells in peritoneal washings. She delivered vaginally a female baby of 3.5 kg at 38 weeks with good Apgar score.
authors.affiliation: Department of Gynaecology and Obstetrics, Unit-I, Holy Family Hospital, Rawalpindi. humeranoreen@ymail.com
authors.forename: Humera
authors.initials: H
authors.lastname: Noreen
authors.forename: Shazia
authors.initials: S
authors.lastname: Syed
authors.forename: Rizwana
authors.initials: R
authors.lastname: Chaudhri
authors.forename: Lubna Ejaz
authors.initials: LE
authors.lastname: Kahloon
mesh_terms: D000328:Adult; D018291:Cystadenoma, Mucinous / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery; D011263:Pregnancy Trimester, Third