Pregnancy and Epithelial Ovarian Cancer: Case Report

Adnexal mass present in 4-8 / 100000 pregnancy, 1 % are malignant and no epithelial are commonly. Epithelial ovarian cancer in pregnancy are uncommon problem, delay maternity increases frequency. Management is a challenge because absence of case and insufficient literature. Our aim was to present the case of a pregnant patient with and epithelial ovarian cancer and review the literature concerned.Case Pregnancy patient 18 5/7 weeks with abdominal pain, complex adnexal mass of 13 centimeters and elevated tumor markers, in surgery on 20 weeks complex abdominal-pelvic mass is found diagnosing epithelial ovarian cancer. On 24 weeks with adequate growing, receive 1 chemotherapy cycle. On 32-week pregnancy was interrupted by cesarean and complete oncology surgery. Male newborn is received with1645 g and apgar 8-9-9. The diagnosis is difficult, pregnancy symptoms create distractions.The tumor markers have limited value. Human epididymal protein 4 may have utility in diagnosis and managementUltrasound is the preferred tool, due high sensitivity and specificity. Magnetic resonance imaging is performed on masses suggestive of malignancy. Contrast use and computerized axial tomography is discouraged.It is recommended to treat the pregnant patient as well as the non-pregnant patient. Adjuvant chemotherapy is administered with greater security during the second and third trimester, suspended three weeks before delivery, to avoid fetal myelosuppressionThe oncological outcome is not conclusive. Cancer increases fetal losses, prematurity and fetal growth restriction.ConclusionsEpithelial ovarian cancer in pregnancy are rare, there is a clear lack of information. The diagnosis, surgical and adjuvant treatment should be performed in the same way as a non-pregnant patient. The surgical approach and chemotherapy are recommended in the second and third trimesters. Oncological results are like non-pregnant patients. Fetal results are encouraging.

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