The coexistence of ovarian dysgerminoma and normal intra-uterine pregnancy presented with acute abdominal pain

Samiee-Rad, Fatemeh; Zangivand, Amir Abdollah

doi:10.1007/s00580-017-2592-2

Cited by 1 publication

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…OD can occur in women aged from 7 months to 70 years, [ 31 ] but predominantly in young pregnant women. [ 1 , 7 , 8 , 30 , 32 ] The majority of OD pregnant women usually have non-specific symptoms, [ 33 ] including the most common abdominal pain (35.3%), followed by abdominal distention (19.6%), a growing mass (19.6%), multiple symptoms (18.6%), and non-symptoms (21.6%). [ 2 ] In our study, abdominal pain was the main complaint of the patient and led to a cesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] OD is the most common subtype of MGCT and often occurs in adolescence and early adulthood. [ 1 , 7 – 10 ] In pregnant women, OD patients only account for about 0.0002% to 0.001%, [ 11 ] and OD usually has a unilateral onset and is diagnosed at an early stage. It is difficult to achieve a large sample of OD due to its relatively low incidence.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pregnancy with giant ovarian dysgerminoma

Zhang¹,

Zhai

Huang³

et al. 2020

Medicine

View full text Add to dashboard Cite

Rationale: Dysgerminoma is an extraordinarily rare neoplasm arising from the malignant germ cells of the ovary. Early antenatal diagnosis and proper management of the neoplasm to improve maternal-neonatal results are the considerable challenges facing the gyne-oncologist. We summarize the clinical features and discuss treatment strategies of the ovary dysgerminoma (OD). Besides, we also review the literature on OD in PubMed, Web of Science Core Collection, Library of Congress, and LISTA from 1939 to 2019 to evaluate its clinical characteristics, feto-maternal compromise, management, and fertility outcome. Patient concerns: A 25-year-old pregnant woman reported lower abdominal pain and vomiting. Diagnosis: The patient was diagnosed as right OD. Interventions: She received a cesarean section due to severe abdominal pain, delivered a healthy girl at 38 C 4 weeks of gestation, and accepted fertility-preserving surgery. However, the patient refused chemotherapy postoperatively. Outcomes: The patient was followed up 42 days, 3 months, and 6 months after surgery, and no tumor recurrence was observed. Lessons: OD has non-specificity characteristics, including age, symptoms, image date, and tumor marks. However, these abnormal indicators may provide some evidence for accurate antenatal diagnosis. The management strategies should be considered comprehensively on an individual basis, and fertility-preserving surgery should be carried out in the second trimester if further pregnancy is desired. Adjuvant chemotherapy needs to be applied to the treatment of OD patients with The International Federation of Gynecology and Obstetrics (FIGO) stages II, III, and IV and timely chemotherapy is suggested if there are several weeks before the expected date of delivery. The overall prognosis of OD patients is excellent.

show abstract