Management of Ovarian Cancer in 14th Gestational Week of Pregnancy by Robotic Approach with Preservation of the FetusChen C.-H.a, b · Chiu L.-H.a · Chan C.a · Liu W.-M.a, b
Department of Obstetrics and Gynecology, aTaipei Medical University Hospital and bSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Dr. Wei-Min Liu
Department of Obstetrics and Gynecology
Taipei Medical University Hospital and Taipei Medical University
No. 252, Wu-Hsing St., Sinyi District, Taipei 11031 (Taiwan)
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The objective of this study is to present a rare case of pregnancy complicated with ovarian cancer managed by robotic surgery. A 36-year-old woman suffered from sudden onset of lower abdominal pain during her pregnancy at 14 weeks of gestation. As malignancy was highly suspected, left salpingo-oophorectomy, bilateral pelvic lymph node dissection, and omentectomy were performed by robotic approach. The uterus and fetus were preserved. After surgery, 5 courses of carboplatin and paclitaxel were given, and the patient was delivered by cesarean section at 37 weeks of pregnancy. Follow-up at 18 months showed no signs of cancer recurrence. As there is limited report of pregnancy complicated with ovarian cancer managed by robotic surgery, we provide this rare case and suggest that surgical staging for ovarian malignancy can be safely accomplished by robotic approach at 14 weeks of pregnancy.
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