Ovarian adenocarcinoma in twin pregnancy

ABSTRACT

This is the first time a case of ovarian adenocarcinoma was diagnosed in a twin pregnant woman at the Department of Obstetrics and Gynecology of HuÕ Central Hospital. The incidence of ovarian cancer during pregnancy is approximately 1 to 25000 pregnancies. About 70 cases of ovarian adenocarcinoma during pregnancy have been reported. to our knowledge, this is the first report of poorly differentiated papillary serious adenocarcinoma in twin pregnancy. Overall, the ovarian adenocarcinoma has poor prognosis. It is necessary to enhance the primary health care system to detect the disease at the earlier stage, obtain better treatment result and improve the prognosis. The maternal prognosis depends solely on the extension of the tumor. The fetal prognosis is poor during the first six months of pregnancy, especially if the tumor is advanced of progressive. The wishes of the parents and their family should be taken into account when making therapeutic decision for these cases.