The Case of a Serous Borderline Ovarian Tumor in a 15-Year Old Pregnant Adolescent: Sonographic Characteristics and Surgical Management

Stefano Uccella; Manuela Rosa; Elena Biletta; Raffaele Tinelli; Pier C. Zorzato; Chiara Botto-Poala; Gabriele Lanzo; Davide Gallina; Massimo P. Franchi; Paolo Manzoni

doi:10.1055/s-0040-1714080

American Journal of Perinatology, Table of Contents

Am J Perinatol 2020; 37(S 02): S61-S65
DOI: 10.1055/s-0040-1714080

Original Article

The Case of a Serous Borderline Ovarian Tumor in a 15-Year Old Pregnant Adolescent: Sonographic Characteristics and Surgical Management

Stefano Uccella

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

²Department of Obstetrics and Gynecology, AOUI (Azienda Ospedaliera Universitaria Integrata), University of Verona, Italy

,

Manuela Rosa

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

,

Elena Biletta

³Department of Pathology, ASL Biella, Italy

,

Raffaele Tinelli

⁴Presidio Ospedaliero Valle d'Itria, Martina Franca, Taranto, Italy

,

Pier C. Zorzato

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

²Department of Obstetrics and Gynecology, AOUI (Azienda Ospedaliera Universitaria Integrata), University of Verona, Italy

,

Chiara Botto-Poala

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

,

Gabriele Lanzo

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

,

Davide Gallina

¹Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Health, ASL (Azienda Sanitaria Locale) Biella, Italy

,

Massimo P. Franchi

²Department of Obstetrics and Gynecology, AOUI (Azienda Ospedaliera Universitaria Integrata), University of Verona, Italy

,

Paolo Manzoni

⁵Division of Pediatrics and Neonatology, Department of Maternal, Neonatal and Infant Health, ASL Biella, Italy

› Author Affiliations

Abstract

Objective This study aimed to describe a rare case of a serous borderline ovarian tumor (BOT) diagnosed during pregnancy in a 15-year old adolescent.

Results The suspect of BOT was raised at a transvaginal ultrasound scan in early first trimester (at 5 weeks of amenorrhea), due to the presence of a moderately vascularized irregular papilla in the context of a unilocular low-level right ovarian cyst. The patient and her parents required termination of pregnancy, irrespective of the diagnosis of an ovarian lesion. After termination of pregnancy, the patient underwent laparoscopic enucleation of the ovarian mass, omentectomy, and peritoneal biopsies. No intra-abdominal spillage of the ovarian mass occurred, and the surgical specimens were put in an endobag and extracted transvaginally. Final pathological examination confirmed the diagnosis of a serous borderline ovarian tumor. The patient of free of disease after 8 months of follow-up.

Conclusion Although rare, borderline ovarian tumors can be diagnosed in an adolescent during pregnancy. The combination of specific sonographic assessment and minimally invasive conservative surgery appears as a very effective approach in this type of patient.

Key Points

BOTs can occur in pregnant adolescents.
Transvaginal ultrasound is crucial to suspect BOT.
Laparoscopic conservative treatment is feasible.

Keywords

borderline ovarian tumors - laparoscopy - low-malignant potential tumors - pregnancy - adolescence - minimally invasive surgery

Full Text

References

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