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Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach

Background: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-...

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Autores principales: Bueno Moral, Ana Isabel, Vilches Jiménez, Jose Carlos, Serrano Olave, Adriana, Espejo Reina, María Pilar, Valdivia de Dios, María Estrella, Jiménez López, Jesús S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145017/
https://www.ncbi.nlm.nih.gov/pubmed/33924942
http://dx.doi.org/10.3390/medicina57050426
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author Bueno Moral, Ana Isabel
Vilches Jiménez, Jose Carlos
Serrano Olave, Adriana
Espejo Reina, María Pilar
Valdivia de Dios, María Estrella
Jiménez López, Jesús S.
author_facet Bueno Moral, Ana Isabel
Vilches Jiménez, Jose Carlos
Serrano Olave, Adriana
Espejo Reina, María Pilar
Valdivia de Dios, María Estrella
Jiménez López, Jesús S.
author_sort Bueno Moral, Ana Isabel
collection PubMed
description Background: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-old pregnant patient with a known adnexal tumour occurring at week 20 and enlarged supraclavicular lymph nodes of 3 cm size who was diagnosed with metastases from low-grade papillary serous ovarian carcinoma. The patient, obstetricians, neonatologists and oncologists agreed on initiating neoadjuvant chemotherapy and performing an elective C-section at week 34. She gave birth to a female infant weighing 2040 g who is currently in good health, and continues receiving follow-up care by a medical oncologist. Conclusions. An early diagnosis of gynaecologic malignancies during pregnancy is of critical importance because, although they are very rare, managing and treating carcinomas at an early stage allow us to increase maternal and fetal well-being and to offer more alternatives to our patients.
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spelling pubmed-81450172021-05-26 Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach Bueno Moral, Ana Isabel Vilches Jiménez, Jose Carlos Serrano Olave, Adriana Espejo Reina, María Pilar Valdivia de Dios, María Estrella Jiménez López, Jesús S. Medicina (Kaunas) Case Report Background: The possible presence of malignant adnexal mass should be considered during pregnancy. For this reason, it is important to keep in mind such possibility while performing routine obstetric ultrasounds to diagnose asymptomatic ovarian cancer in the early stages. Case presentation: 27-year-old pregnant patient with a known adnexal tumour occurring at week 20 and enlarged supraclavicular lymph nodes of 3 cm size who was diagnosed with metastases from low-grade papillary serous ovarian carcinoma. The patient, obstetricians, neonatologists and oncologists agreed on initiating neoadjuvant chemotherapy and performing an elective C-section at week 34. She gave birth to a female infant weighing 2040 g who is currently in good health, and continues receiving follow-up care by a medical oncologist. Conclusions. An early diagnosis of gynaecologic malignancies during pregnancy is of critical importance because, although they are very rare, managing and treating carcinomas at an early stage allow us to increase maternal and fetal well-being and to offer more alternatives to our patients. MDPI 2021-04-28 /pmc/articles/PMC8145017/ /pubmed/33924942 http://dx.doi.org/10.3390/medicina57050426 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Bueno Moral, Ana Isabel
Vilches Jiménez, Jose Carlos
Serrano Olave, Adriana
Espejo Reina, María Pilar
Valdivia de Dios, María Estrella
Jiménez López, Jesús S.
Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_full Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_fullStr Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_full_unstemmed Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_short Advanced Ovarian Cancer during Pregnancy. Tumour Evolution Analysis and Treatment Approach
title_sort advanced ovarian cancer during pregnancy. tumour evolution analysis and treatment approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145017/
https://www.ncbi.nlm.nih.gov/pubmed/33924942
http://dx.doi.org/10.3390/medicina57050426
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