SUCCESSFUL PREGNANCY OUTCOME AFTER MALIGNANT EPITHELIAL OVARIAN TUMOUR: A CASE REPORT

Abstract

A 21 year old lady married for 5 months, presented with complaints of abdominal distension
and lump in the abdomen. It was found to be a 26 week size mass of variable consistency and
restricted mobility but rectal mucosa was free. CA 125 was 93.1 IU/L, CEA of 6.9 ng/ml.
CECT was suggestive of a mucinous cystadenoma of left ovary. A staging laparotomy was
performed on 11 December 2014. Left salpingo-oophorectomy with bilateral pelvic and
paraaortic lymphadenectomy with infracolic omentectomy was done. About 1000 ml of
ascitic fluid was present, sent for malignant cytology. The right ovary appeared normal and
was preserved along with the uterus for fertility. Frozen section and later histopathology of
specimen confirmed well differentiated mucinous cystadenocarcinoma with focal areas of
capsular involvement, fallopian tube was free of tumour. Diagnosis of malignant epithelial
mucinous cystadenocarcinoma stage Ic was made. Patient was given 6 cycles of
chemotherapy with carboplatin and paclitaxel. She tolerated chemotherapy well and
completed her last cycle on 11 April 2015.
Patient then conceived spontaneously with her last menstrual period on 18 September 2015.
She had an uneventful pregnancy till term when she had premature rupture of membranes.
Labour was augmented and she delivered a baby girl of 3.1 kg birth weight in June 2015. She
has breast fed her baby and is on follow up with falling CA 125 levels. Both the mother and
child are doing well.