Objective: To report on ovarian carcinoma development after cystectomy for a borderline mucinous ovarian tumor. Design: Case report. Setting: A French comprehensive cancer center. Patient(s): One patient who developed...Objective: To report on ovarian carcinoma development after cystectomy for a borderline mucinous ovarian tumor. Design: Case report. Setting: A French comprehensive cancer center. Patient(s): One patient who developed recurrence in the form of an invasive ovarian carcinoma after simple cystectomy for a borderline mucinous ovarian tumor. Intervention(s): Simple cystectomy. Main Outcome Measure(s): Clinical outcome. Result(s): A 22-year-old nulliparous patient underwent laparoscopic cystectomy. Histological examination revealed a borderline mucinous ovarian tumor. No additional treatment was prescribed. Two years later, the patient relapsed with a malignant mucinous ovarian carcinoma. She underwent surgical resection and staging, including hysterectomy, bilateral adnexectomy, omentectomy, and pelvic and paraaortic lymphadenectomy, and platinum-based chemotherapy. Conclusion(s): Recurrence in the form of invasive ovarian carcinoma may occur in the same ovary after cystectomy in cases of borderline mucinous ovarian tumor. An approach combining systematic unilateral salpingo-oophorectomy and strict monitoring is preferable to simple cystectomy. Such treatment enables preservation of reproductive potential and reduces the risk of developing invasive carcinoma.展开更多
Background.To report a case of succe ssful management of a FIGO stage III endometrioid carcin oma of the ovary di-agnosed during pregnancy at 22weeks of gestation and treated with initial chemotherapy w hile preservin...Background.To report a case of succe ssful management of a FIGO stage III endometrioid carcin oma of the ovary di-agnosed during pregnancy at 22weeks of gestation and treated with initial chemotherapy w hile preserving the pregnancy.Case.The patient underw ent a planned ce-sarean section at 34weeks after two c ourses of carboplatin.She delivered a healthy baby.At the s ame time,a radical hysterectomy,omentectomy,pelvic and paraaortic lym-phadenectomies and peritonectomie s were carried out.The surgical resection was complete(no macroscopic residual disease).During histologic examination,tr aces of persis-tent disease were found.The patient underwent seven postoperative courses of chemotherapy(carboplatin +pa-clitaxel regimen)after radical surgery.After 18mont hs of follow-up posttreatment,the patie nt remains in complete remission and the childs developme nt is normal.Conclu-sion.Chemotherapy during pregnancywith preservation of the fetus could be considered and should be discussed in case of epithelial ovarian cancer(EOC)diagnosed during the second trimester of the pregnancy.展开更多
文摘Objective: To report on ovarian carcinoma development after cystectomy for a borderline mucinous ovarian tumor. Design: Case report. Setting: A French comprehensive cancer center. Patient(s): One patient who developed recurrence in the form of an invasive ovarian carcinoma after simple cystectomy for a borderline mucinous ovarian tumor. Intervention(s): Simple cystectomy. Main Outcome Measure(s): Clinical outcome. Result(s): A 22-year-old nulliparous patient underwent laparoscopic cystectomy. Histological examination revealed a borderline mucinous ovarian tumor. No additional treatment was prescribed. Two years later, the patient relapsed with a malignant mucinous ovarian carcinoma. She underwent surgical resection and staging, including hysterectomy, bilateral adnexectomy, omentectomy, and pelvic and paraaortic lymphadenectomy, and platinum-based chemotherapy. Conclusion(s): Recurrence in the form of invasive ovarian carcinoma may occur in the same ovary after cystectomy in cases of borderline mucinous ovarian tumor. An approach combining systematic unilateral salpingo-oophorectomy and strict monitoring is preferable to simple cystectomy. Such treatment enables preservation of reproductive potential and reduces the risk of developing invasive carcinoma.
文摘Background.To report a case of succe ssful management of a FIGO stage III endometrioid carcin oma of the ovary di-agnosed during pregnancy at 22weeks of gestation and treated with initial chemotherapy w hile preserving the pregnancy.Case.The patient underw ent a planned ce-sarean section at 34weeks after two c ourses of carboplatin.She delivered a healthy baby.At the s ame time,a radical hysterectomy,omentectomy,pelvic and paraaortic lym-phadenectomies and peritonectomie s were carried out.The surgical resection was complete(no macroscopic residual disease).During histologic examination,tr aces of persis-tent disease were found.The patient underwent seven postoperative courses of chemotherapy(carboplatin +pa-clitaxel regimen)after radical surgery.After 18mont hs of follow-up posttreatment,the patie nt remains in complete remission and the childs developme nt is normal.Conclu-sion.Chemotherapy during pregnancywith preservation of the fetus could be considered and should be discussed in case of epithelial ovarian cancer(EOC)diagnosed during the second trimester of the pregnancy.
