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Successful pregnancies following fertility-preserving treatment for ovarian carcinoma

Nature Clinical Practice Oncology volume 2, pages 647–651 (2005)Cite this article

Abstract

Background A 30-year-old woman underwent a routine sonogram at 6 weeks of gestation during her first pregnancy and was found to have a 6 cm complex right-ovarian mass, thought to be a dermoid cyst. The pregnancy progressed to term and the patient went on to have a normal vaginal delivery. At 3 months postpartum, she underwent a laparoscopic ovarian cystectomy. Preoperative serum cancer antigen 125 was within the normal range at 23.6 U/ml.

Investigations Pelvic ultrasound, evaluation of serum cancer antigen 125, abdominal and pelvic CT scans.

Diagnosis Stage IA clear-cell epithelial carcinoma of the right ovary.

Management Laparoscopic ovarian cystectomy, dilation and curettage, laparotomy, right salpingo-oophorectomy, infracolic omentectomy, peritoneal biopsy, peritoneal washing, appendectomy, bilateral pelvic and para-aortic lymphadenectomy, adjuvant chemotherapy with paclitaxel and carboplatin.

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Author information

Authors and Affiliations

  1. an attending physician in the gynecologic-oncology division at the Shaare Zedek Medical Center, Jerusalem, Israel

    Ram Eitan

  2. Fellowship Program Director for the Gynecology Service at the Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Dennis S Chi

Authors
  1. Ram Eitan
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  2. Dennis S Chi
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Corresponding author

Correspondence to Dennis S Chi.

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The authors declare no competing financial interests.

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Eitan, R., Chi, D. Successful pregnancies following fertility-preserving treatment for ovarian carcinoma. Nat Rev Clin Oncol 2, 647–651 (2005). https://doi.org/10.1038/ncponc0356

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