Cáncer de Ovario en Pacientes Embarazadas. Casos Clínicos.

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    • Abstract:
      The presence of an ovary malignant tumor during pregnancy is rare and represents 2 to 5% frequency of all the annexa uteri masses. During pregnancy, due to the anatomical and physiological changes brought about, it is difficult to identify, and often its discovery is incidental during ecosonographic control studies, during emergency surgery performance or during the caesarean section procedure. Ovary cancer diagnosis is important for appropriate stage classification during the surgical procedure in order to establish an adequate treatment. We present two clinical cases of ovary cancer during pregnancy. 1. A 25 years old woman in its first pregnancy underwent bilateral ooforectomy and transoperatory biopsy that revealed a papillary serous cistadenocarcinoma of left ovary. 2. A 30 years old pregnant patient of 6 weeks gestation time presenting a bilateral ovaric mass by ecosonography. A bilateral ooforectomy was practiced whose histological analysis revealed a grade II moderately differentiated papillary mucinous cistoadenocarcinoma. Both pregnancies evolved to term pregnancy, with delivery of healthy newborn babies in each mother. [ABSTRACT FROM AUTHOR]
    • Abstract:
      La presencia de un tumor maligno de ovario durante la gestación es poco frecuente, encontrándose en un 2 a 5% de todas las masas anexiales. Durante el embarazo, debido a los cambios anatómicos y isiológicos producidos por la gravidez, su identificación es difícil y muchas veces incidental al momento de realizar estudios de ecosonograma de control o de realizar una cirugía de emergencia o durante la cesárea. Se requiere una buena clasificación por estadíos durante el procedimiento quirúrgico para establecer un adecuado tratamiento. Se presentan dos casos clínicos. Primer caso: paciente de 25 años, primigesta, se le realizó ooforectomia bilateral más biopsia transoperatoria que evidenció cistadenocarcinoma seroso papilar en ovario izquierdo. Segundo caso. Paciente femenina de 30 años con embarazo de 6 semanas con tumor de ovario bilateral por ecosonograma. Se practicó ooferectomia bilateral con evidencia de cistoadenocarcinoma mucinoso papilar grado II moderadamente diferenciado. Ambos embarazos culminaron a término con recién nacidos vivos saludables. [ABSTRACT FROM AUTHOR]
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