Micropapillary Serous Borderline Ovarian Tumor in Early Pregnancy: Is Conservative Surgery Still a Viable Option?

Kazila Bhutia, Manisha Mathur, Ieera Aggarwal

Abstract


With the advent of improved sonographic techniques, it is quite common to find ovarian masses during pregnancy. Most of these are benign and are usually managed conservatively. It is rare to find a malignant ovarian tumor in pregnancy with a reported incidence of 1 in 12,000 to 1 in 47,000. Up to 8% of the adnexal masses could be borderline in nature. We present a case of a 29-year-old woman whose ultrasound in early first trimester (5 weeks) identified a solid-cystic ovarian mass with a raised CA125, suspicious of ovarian malignancy. She did not have any symptoms arising from this mass. She underwent a laparotomy and unilateral salpingo-oophorectomy at 6 weeks gestation. Frozen section was reported as borderline papillary serous ovarian tumor and hence omentectomy was done to complete the staging. Histology confirmed micropapillary variant of serous borderline tumor with a few foci of stromal micro-invasion. She was staged as FIGO stage IC. She was managed conservatively with regular follow-up at the antenatal clinic. She delivered a healthy baby at term by cesarean section. She is currently free of disease and is on regular follow-up at the gynae-oncology clinic. We wish to highlight that although borderline ovarian tumors (BOTs) in general have a very favorable prognosis, those diagnosed during pregnancy can be associated with aggressive features. The micropapillary variant of the serous BOT has the potential of malignant transformation and may represent an early stage in the continuum of development of low-grade serous tumors of the ovary. These patients should be closely followed up to detect any recurrence or progressive disease early.




J Med Cases. 2016;7(9):406-410
doi: http://dx.doi.org/10.14740/jmc2617w


Keywords


Adnexal masses; Pregnancy; Borderline ovarian tumor; Micropapillary feature; Fertility sparing surgery

Full Text: HTML PDF
 
Home     |     Log In     |      About     |      Search     |      Current     |      Archives     |      Submit      |     Subscribe


 

     

Aims and Scope

Current Issues

Conflict of Interest

About Publisher

Editorial Board

Archives

Copyright

Company Profile

Editorial Office

Misconduct and Retraction

Permissions

Company Registration

Contact Us

Abstracting and Indexing

ICMJE

Ownership

Instructions to Authors

Access

Declaration of Helsinki

Contact Publisher

Submission Checklist

Reprints

Terms of Use

Company Address

Submit a Manuscript

Open Access Policy

Privacy Policy

Browse Journals

Publishing Fee

Publishing Policy

Disclaimer

Recent Highlights

Peer-Review Process

Publishing Quality

Code of Ethics

Advertising Policy

Manuscript Tracking

Advanced Search

For Librarians

Careers

Publishing Process

Publication Frequency

For Reviewers

Propose a New Journal

       
       

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.        
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

DECLARATION: THIS JOURNAL SITE OUTLOOK IS DESIGNED BY THE PUBLISHER AND COPYRIGHT PROTECTED. DO NOT COPY!