IMR Press / EJGO / Volume 29 / Issue 3 / pii/1630995597965-1327134599

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Immature teratoma in pregnancy: a case report and literature review
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1 Department of Obstetrics and Gynecology, University Hospital of Larissa
2 Department of Pathology, University Hospital of Larissa (Greece)
Eur. J. Gynaecol. Oncol. 2008, 29(3), 300–304;
Published: 10 June 2008
Abstract

Background: The management of a Stage I immature teratoma during pregnancy with a review of the literature is reported. Case Report: A growing adnexal mass was removed at 12 weeks of gestation. Although the frozen section was negative, because of intraoperative clinical suspicion, a right salpingo-oophorectomy and surgical staging were performed. Histological examination revealed a Stage Ia, grade 1 immature ovarian teratoma. Appropriate surgical staging enabled avoidance of chemotherapy despite the unexpected histological diagnosis. The pregnancy was terminated because of fetal distress, with cesarean section at 34 weeks of gestation. At that time the peritoneal cavity was inspected and biopsies were taken as in second-look laparotomy. Two years after the first operation the patient remains disease free. Conclusion: For adnexal masses removed during pregnancy frozen section is useful but when there is clinical suspicion surgical staging must be performed.
Keywords
Immature teratoma
Pregnancy
Adnexal mass in pregnancy
Explorative laparotomy
Surgical staging
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