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Ovarian malignant immature teratoma associated with pregnancy - a case report

  • O. Poujade1,*,
  • E. Pujade-Lauraine2
  • M. Levardon1
  • D. Luton1

1Service de Chirurgie Gynécologie Osbtétrique, Hôpital Beaujon AP-HP, Clichy, France

2Service d'Oncologie, Hôpital Hôtel Dieu AP-HP, Paris, France

DOI: 10.12892/ejgo200806649 Vol.29,Issue 6,November 2008 pp.649-650

Published: 10 November 2008

*Corresponding Author(s): O. Poujade E-mail: olivierpoujade@hotmail.com

Abstract

We report the case of a malignant immature teratoma diagnosed at 21 weeks of amenorrhea in a 36-year-old healthy woman. Ultrasound examination showed a multilocular cystic mass of 175 mm in diameter, situated on the left side of the uterus. A left ovariectomy was performed by laparotomy at 22 weeks of amenorrhea. Histologic examination revealed a malignant grade 2 immature teratoma, and the patient underwent three courses of chemotherapy with a good pregnancy outcome. A cesarean section was carried out at 39 weeks of amenorrhea, associated with a left salpingectomy on which the pathologist examination did not find any malignant cells. The newborn had a normal aspect, and the mother was considered to be in remission after two more courses of chemotherapy..

Keywords

Ovarian neoplasm; Malignant immature teratoma; Pregnancy

Cite and Share

O. Poujade,E. Pujade-Lauraine,M. Levardon,D. Luton. Ovarian malignant immature teratoma associated with pregnancy - a case report. European Journal of Gynaecological Oncology. 2008. 29(6);649-650.

References

[1] Hermans R.H., Fischer D.C., van der Putten H.W., van de Putte G., Einzmann T., Vos M.C., Kicback D.G.: “Adnexal masses in pregnancy”. Onkologie, 2003, 26, 167.

[2] Bakri Y.N., Ezzat A., Akhtar, Dohami, Zahrani: “Malignant germ cell tumors of the ovary. Pregnancy considerations”. Eur. J. Obstet. Gynecol. Reprod. Biol., 2000, 90, 87.

[3] Tsutomu T., Shunji S., Zuisei H., Toshiya S., Tsutomo A.: “Primary ovarian tumor undergoing surgical management during pregnancy”. J. Nippon Med. Sch., 2002, 69, 39.

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