A rare case of pregnancy combined with a large ovarian tumour
Ivanov, S.; Kovachev, E.; Minkov, R.; Balev, B.; Panchev, P.; Madjarov, P.; Mircheva, N.; Kisiov, S.; Tsonev, A.; Veseli, M.
Akusherstvo i Ginekologiia 51(Suppl 1): 29-32
2012
ISSN/ISBN: 0324-0959 PMID: 23236676 Document Number: 661642
Our aim was to demonstrate the diagnostic difficulties as well as the atypical clinical development of ovarian tumours in combination with pregnancy. We present a rare case of large mucinous cystadenoma in 32-year old patient, who is 20 gestational weeks pregnant. Ultrasound examination and MRI were performed, which visualized a huge multilocular ovarian tumour formation with a small amount of ascites. We performed laparatomy adnexectomy which included the ovarian cyst, partial omentectomy and we took 4 samples of smears from the whole abdominal cavity, as well as ascites samples for cytology. The pregnancy was preserved. The histological examinations reported: mucinous cystadenoma without morphological data for malignant transformation. In our rare case the organ preserving operation was a completely sufficient surgical staging procedure.