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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

SANCHEZ U, Yasmely et al. Cáncer de ovario en el embarazo: Reporte de un caso. Rev. chil. obstet. ginecol. [online]. 2013, vol.78, n.5, pp.371-378. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262013000500008.

Background: The association between cancer and pregnancy is infrequent, with an incidence of 0.02 to 0.1%; occupying ovarian cancer (OCA) in third place among the most common gynaecological malignancies associated with pregnancy, with rates between 1/10,000 to 1/100,000 pregnancies. Aim: To disseminate clinical case of interest to the medical community. Case report: A 22 years old pregnant who consulted for abdominal pain, vomiting, dyspnoea and increased abdominal girth. Who has an anexial tumour reaching right upper quadrant, which was admitted with diagnosis of interrupted pregnancy of 12 weeks, ovary's tumour, pseudo Meigs' syndrome and anaemia. Transabdominal ultrasound confirmed space occupying lesion in the right lower quadrant and flank multilobed of 17.3 x 9.9 x 13.7 cm, with concordance in MRI which is seen as a mixed ovarian tumour. Laparotomy was practice and the frozen biopsy was diagnosed as ovarian germ cell tumour (dysgerminoma). It proceeds to total hysterectomy with death fetus in uterus, with bilateral salpingo oophorectomy. Withdrawal in good condition and currently under chemotherapy regimen. Conclusion: The coincidence of OCA during pregnancy is rare, the dysgerminoma are the most frequently diagnosed malignancy.

Palabras clave : Ovarian cancer; dysgerminoma; pregnancy; pseudo Meigs' syndrome.

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