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Chapter 11 - Ovarian tumors and pregnancy

from Section 1 - Specific tumors during pregnancy

Published online by Cambridge University Press:  05 December 2011

By
Rinat Hackmon
Edited by
Gideon Koren  and
Michael Lishner
Gideon Koren
Affiliation:
University of Toronto
Michael Lishner
Affiliation:
Tel-Aviv University
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Summary

This chapter describes the diagnosis, treatment, prognosis, and lactation for ovarian cancer in pregnancy. Various sonographic scoring systems of the adnexal mass may include features that have been associated with ovarian malignancies, such as bilaterality, heterogeneous solid component, papillary structure, septations, size >7 cm, low-resistance blood flow, and ascites. Improvement in Doppler ultrasound technology for evaluation of tumor vascularity has been used lately as a predictor of malignancy. Magnetic resonance imaging (MRI) may be used as an additional diagnostic imaging tool in more complex conditions, such as displacement of the ovaries up into the abdomen when the pregnant uterus is growing, or in metastatic disease, or in other diagnostic uncertainty. Most patients with ovarian cancer diagnosed during pregnancy have disease confined to the pelvis or abdomen. Paclitaxel-carboplatin chemotherapy until fetal maturity is the regimen of choice in ovarian cancer.

Keywords

cervical cancerconizationflank painrespiratory distresspregnancynoninvasive carcinomapelvic pain
Type
Chapter
Information
Cancer in Pregnancy and Lactation
The Motherisk Guide
 , pp. 53 - 59
Publisher: Cambridge University Press
Print publication year: 2011

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