Ovarian dysgerminoma presenting as a pregnancy: case report

2016 ◽  
Vol 47 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Solwayo Ngwenya

A 32 year-old P4 G4 was referred from a rural hospital for fibroids in pregnancy. The pregnancy test was positive. An ultrasound scan reported a huge left extrauterine mass. The uterus was of normal size. There was no pregnancy demonstrated. A laparotomy was done through a midline incision. There was a huge left ovarian tumour occupying the pelvic/abdominal region right up to the xiphisternum. A left salpingo-oophrectomy was done. The post operative period was uneventful. The histopathological report confirmed the diagnosis of ovarian dysgerminoma FIGO stage 1A. She was referred to oncologists for adjvunt chemotherapy.

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Anurekha Janaki Periyasamy ◽  
Ajit Kumar Nayak ◽  
Bhagyalaxmi Nayak ◽  
Rabi Narayan Dash ◽  
Sailabala Shaw

2018 ◽  
Vol 19 (8) ◽  
pp. 649-658 ◽  
Author(s):  
Yuanyuan Chen ◽  
Ying Luo ◽  
Cha Han ◽  
Wenyan Tian ◽  
Wen Yang ◽  
...  

2013 ◽  
Vol 7 (1) ◽  
pp. 53-55
Author(s):  
Ajay Agrawal ◽  
P Rijal ◽  
H Pokharel ◽  
S Karki ◽  
P Basnet ◽  
...  

Dysgerminoma tends to occur in young women although its incidence in pregnancy is low. Torsion and incarceration occurs in nearly half of the cases. Early diagnosis and appropriate treatment offers the best prognosis to the patient presenting with dysgerminoma. However because of enlarging abdominal size, pregnancy may mask the rapidly growing dysgerminoma often leading to late presentation. This is a case report of a female 30 years of age with stage 3C dysgerminoma which lead to acute surgical abdomen at 33weeks of pregnancy. Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 53-55 DOI: http://dx.doi.org/10.3126/njog.v7i1.8838


2019 ◽  
Author(s):  
Hatice Sebile Dokmetas ◽  
Fatih Kilicli ◽  
Meric Dokmetas ◽  
Yasar Ozdenkaya ◽  
Kubra Karaipek ◽  
...  

2020 ◽  
Vol 3 (68) ◽  
pp. 147
Author(s):  
Ioniţă Ducu ◽  
Roxana-Elena Bohîlţea ◽  
Dan Teleanu ◽  
Natalia Ţurcan ◽  
Monica Mihaela Cîrstoiu

2020 ◽  
Vol 97 ◽  
pp. 5
Author(s):  
Georgios Eleftheriou ◽  
Raffaella Butera ◽  
Mariapina Gallo ◽  
Andrea Giampreti ◽  
Lorella Faraoni ◽  
...  
Keyword(s):  

2021 ◽  
pp. 141-146
Author(s):  
Reda Youssef ◽  
Gamal Sayed Ahmed ◽  
Samir Alhyassat ◽  
Sanaa Badr ◽  
Ahmed Sabry ◽  
...  

Dysgerminoma is an uncommon malignant tumor arising from the germ cells of the ovary. Its association with pregnancy is extremely rare, with a reported incidence of about 0.2–1 per 100,000 pregnancies. Women in the reproductive age group are more commonly affected. It can be extremely rare to conceive naturally, without assisted reproductive interventions, in cases with ovarian dysgerminoma. If a pregnancy does occur with a concurrent dysgerminoma, it is even more unusual to carry the pregnancy to viability or childbirth without fetal or maternal compromise. We report a case of right ovarian dysgerminoma in a young female with a viable intrauterine pregnancy at 10 weeks, which is rarely diagnosed and managed at this gestational age. Numerous factors played a role in her favorable outcome, including early suspicion by ultrasound and presenting history, surgery, histopathological assessment, imaging, and involvement of the multidisciplinary oncology team. Ovarian neoplasms may rapidly increase in size within a short period with little or no symptoms. This poses a diagnostic challenge for obstetricians and oncologists. Hence, we aimed to evaluate the role of imaging in pregnancy using ultrasound as an imaging modality for both early detection of ovarian neoplasms and for follow-up. In conclusion, patients with ovarian dysgerminoma in pregnancy can have favorable outcomes. Treatment should be individualized on a case-to-case basis, depending on many factors; cancer stage, previous reproductive history, the impact of imaging in staging or follow-up of tumor on the fetus, fetal gestational age, and whether termination of the pregnancy can improve survival or morbidity for the mother.


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