PREGNANCY WITH BILATERAL METASTATIC OVARIAN TUMOUR
AbstractMetastatic ovarian tumours are extremely rare. The commonest primary site is usually stomach and the metastasis from this site is termed as krukenberg tumour. It accounts for 1–2% of malignant ovarian tumours. We present a case of 14 weeks’ pregnancy with metastatic bilateral malignant ovarian tumour is presented. Diagnosis was made on ultrasound. Tumour markers were insignificant. Patient underwent staging laparotomy with total abdominal hysterectomy and bilateral salpingo oophorectomy and partial omentectomy. She also had haematemesis. Endoscopy revealed suspicious growth in stomach, but biopsy report excluded it. Case was handed over to the oncologist for further management.Keywords: Ovarian Tumour; Pregnancy; Metastatic Ovarian Tumour; Krukenberg Tumour
Dueñas-García OF, Diaz-Sotomayor M, Chanana C. Bilateral Ovarian Krukenberg Tumor in a Full-Term Pregnancy. ISRN Obstet Gynecol 2011;2011:620380.
Machado F, Vegas C, Leon J, Matsuyama T, Tsukamoto N, Matsukuma K, et al. Ovarian cancer during pregnancy: analysis of 15 cases. Gynecol Oncol 2007;105(2):446–50.
Matsuyama T, Tsukamoto N, Matsukuma K, Kamura T, Kaku T, Saito T. Malignant ovarian tumors associated with pregnancy: report of six cases. Int J Gynaecol Obstet 1989;28(1):61–6.
Gasim T, Al Dakhiel SA, Al Ghamdi AA, Al Ali M, Al Jama F, Rahman J, et al. Ovarian tumors associated with pregnancy: a 20-year experience in a teaching hospital. Arch Gynecol Obstet 2010;282(5):529–33.
Kwon SY, Mok EJ, Lim TK, Lee HI, Kim JT, Lee HK, et al. Ovarian Cancer during Pregnancy: Clinical and Pregnancy Outcome. J Korean Med Sci 2010;25(2):230–4.
Moradan S. Ovarian immature teratoma during pregnancy: A case report. J Med Liban 2014;62(4):245–7.
Miyamoto M, Takano M, Goto T, Kato M, Sasaki N, Furuya K. Ovarian yolk cell tumor associated with pregnancy: a case report and review of literature. Eur J Gynaecol Oncol 2014;35(6):738–40.
Singhal RS, Nanda S, Chaudhry P, Sen J, Singhal KS. Metastatic bilateral malignant ovarian tumors associated with pregnancy. Taiwan J Obstet Gynecol 2009;48(2):167–8.
Co VP, Gupta A, Attar MB, Demetria M. Gastric Cancer Presenting as a Krukenberg Tumor at 22 Weeks’ Gestation. J Gastric Cancer 2014;14(4):275–8.
Kim SH, Abd Halim SR, Siddiqui N, Park WH. Disseminated Cancer in Pregnancy: Krukenberg Tumour. Case Rep Obstet Gynecol 2014;2014:216969.
Genc M, Genc B, Solic A, Gur E, Sezgin C. Bilateral Krukenberg tumor in a 16-week pregnant women. Eur J Gynaecol Oncol 2014;35(1):95–6.
Zanotti KM, Belinson JL, Kennedy AW. Treatment of gynecologic cancers in pregnancy. Semin Oncol 2000;27(6):686–98.
Elit L, Bocking A, Kenyon C, Natale R. An endodermal sinus tumor diagnosed in pregnancy: case report and review of the literature. Gynecol Oncol 1999;72(1):123–7.
Sarandakou A, Protonotariou E, Rizos D. Tumor markers in biological fluids associated with pregnancy. Crit Rev Clin Lab Sci 2007;44(2):151–78.
XU D, Liang C, He J. Large malignant ovarian tumours during pregnancy: two cases. Onco Targets Ther 2014;7:2121–5.