Diagnosis of a gynecologic malignancy during cesarean section is quite rare. We report a case of a 39-year-old, nulliparous woman who underwent elective cesarean section during which a paratubal cyst was noticed and removed. The pathology revealed serous borderline tumor. Subsequent staging laparotomy was done 23 days after cesarean section. She was diagnosed with stage IC paratubal serous borderline tumor and underwent no further therapy. For the time being 15 months have passed from the staging laparotomy and she is currently free of disease recurrence. This case presented the importance of the evaluation of adnexa during cesarean section together with a short review of the literature on the rare paratubal borderline tumors and the role of fertility-sparing, conservative surgery in their management.
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- Borderline tumors of the ovary and fertility.Eur J Cancer. 2006; 42: 149-158
- Boerderline serous papillary tumor arising in a paraovarian cyst.Eur J Obstet Gynecol Reprod Biol. 2010 Feb 24; ([Epub ahead of print])
- Paratubal borderline serous tumors.Gynecol Oncol. 2009; 113: 83-85
- Guidelines for the management of ovarian cancer during pregnancy.Eur J Obstet Gynecol Reprod Biol. 2010; 149: 18-21
- Managing ovarian masses during pregnancy.Obstet Gynecol Surv. 2006; 61: 463-470
- Treatment of incidental adnexal masses at cesarean section: a retrospective study.Int J Gynecol Cancer. 2007; 17: 339-341
- Parovarian serous cystadenocarcinoma of borderline malignancy diagnosed during pregnancy.Gynecol Obstet Invest. 1988; 26: 262-264
- Accuracy of ultrasound subjective ‘pattern recognition’ for the diagnosis of borderline ovarian tumors.Ultrasound Obstet Gynecol. 2007; 29: 489-495
- Malignant and semi-malignant tumors of the ovary.Surg Gynecol Obstet. 1929; 48: 204-230
- Feasibility of ovarian cryopreservation in borderline ovarian tumours.Hum Reprod. 2009; 24: 850-855
- Surgical management of borderline ovarian tumors: the role of fertility-sparing surgery.Gynecol Oncol. 2009; 113: 75-82
- Pregnancy rates after conservative treatment for borderline ovarian tumours: a systematic review.Eur J Obstet Gynecol Reprod Biol. 2007; 135: 3-7
- Behavior of borderline tumors with particular interest to persistence, recurrence, and progression to invasive carcinoma: a prospective study.J Clin Oncol. 2001; 19: 2658-2664
- Fertility after conservative treatment for borderline ovarian tumors: a French multicenter study.Fertil Steril. 2005; 83: 284-290
- Fertility and recurrence results of conservative surgery for borderline ovarian tumors.Gynecol Oncol. 2005; 97: 845-851
- Borderline endometrioid tumor arising in a paratubal cyst: a case report.Gynecol Oncol. 2005; 97: 263-265
Accepted: June 7, 2010
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.