Laparoscopic surgery for boderline ovarian tumor during pregnancy : two case reports

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  • 卵巣境界悪性腫瘍合併妊娠に対し腹腔鏡併用下に手術を施行した2例
  • 症例報告 卵巣境界悪性腫瘍合併妊娠に対し腹腔鏡併用下に手術を施行した2例
  • ショウレイ ホウコク ランソウ キョウカイ アクセイ シュヨウ ガッペイ ニンシン ニ タイシ フククウキョウ ヘイヨウ カ ニ シュジュツ オ シコウ シタ 2レイ

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Abstract

<p>Laparoscopic surgery is now often performed to treat benign ovarian tumors during pregnancy. However, there have so far been few studies on the use of laparoscopic surgery in the treatment of borderline ovarian tumors (BOT) during pregnancy, and this practice remains controversial. We report two cases in which laparoscopic surgery was performed to treat the BOTs in pregnant women. [Case 1] A 26-year-old (gravida 0) woman was suspected bilateral BOTs. At 14 weeks of gestation, laparoscopic left salpingo-oophorectomy, right ovarian cystectomy and omentectomy were performed. The operation was performed with a small amount of blood loss and the patient was discharged on the 4th day after surgery without any adverse effects. A pathological examination revealed bilateral ovarian tumors (serous borderline tumor, stage IB). Thereafter, the patient’s pregnancy progressed normally and she delivered a healthy male baby at 40 weeks of gestation. The patient has currently been followed for 18 months since the initial surgery and there have been no signs of recurrence. [Case 2] A 30-year-old (gravida 0) woman was suspected bilateral BOTs. At 15 weeks of gestation, laparoscopic right salpingo-oophorectomy, right and omentectomy were performed. The operation was performed with a small amount of blood loss and she was discharged on the 4th day after surgery without any adverse effects. A pathological examination revealed a right ovarian tumor (seromucinous borderline tumor, stageIA). Thereafter the patient’s pregnancy progressed normally and a normal infant was delivered by cesarean section (due to obstetric reasons) at 40 weeks of gestation. The patient has currently been followed for 30 months since the initial surgery and there have been no signs of recurrence. [Adv Obstet Gynecol, 71(1) : 37-44, 2019 (H31.2)]</p>

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