Serous borderline ovarian tumor and pregnancy. Clinical case

M. Chekalova, L. N. Aminova, I. A. Karev, A. Kozub
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Abstract

The article presents a case of diagnosis and surgical treatment of a serous borderline ovarian tumor in a patient in the first trimester of pregnancy. Instrumental diagnosis of ovarian tumors during pregnancy includes ultrasound examination throughout pregnancy and magnetic resonance imaging in the second and third trimesters. Dynamic ultrasound of the uterus and its appendages showed a tumor of the right ovary, its growth and structural changes were observed leading to suspicions of malignancy. An operation was performed: laparoscopic adnexectomy on the right with express histological examination, lavage of the abdominal cavity, resection of the greater omentum, biopsy of the abdominal membrane. Histological examination confirmed serous borderline ovarian tumor. Subsequent medical care was aimed towards pregnancy prolongation. The described case of serous borderline tumor corresponded to stage I of the disease which allows to hope for a favorable prognosis for the performed surgical treatment.
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浆液性交界性卵巢肿瘤与妊娠。临床病例
本文提出了一个病例的诊断和手术治疗浆液交界性卵巢肿瘤的病人在怀孕的前三个月。妊娠期间卵巢肿瘤的仪器诊断包括整个妊娠期间的超声检查和妊娠中期和晚期的磁共振成像。子宫及附属物动态超声示右侧卵巢肿瘤,其生长及结构改变怀疑为恶性肿瘤。术式为:右侧腹腔镜附件切除术并明确组织学检查,腹腔灌洗,大网膜切除术,腹膜活检。组织学检查证实卵巢浆液性交界性肿瘤。随后的医疗护理旨在延长妊娠期。所描述的浆液交界性肿瘤病例对应于疾病的I期,这使得希望手术治疗有良好的预后。
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