[Coexistence of ovarian adenocarcinoma with tubal pregnancy and plano-epithelial cervical cancer of uterus].

OBJECTIVES

Ovarian tumors during pregnancy are rare event. Histologic subtypes and prognosis do not differ from tumors not associated with pregnancy, it seems however, that are more lesions of borderline malignancy and of low grade. An extremely rare of ovary adenocarcinoma coexisting with tubal pregnancy and planoepithelial cervical cancer of uterus has been discussed.

STUDY

DESIGN

The patient S. D. age 39, was admitted to hospital with a diagnosis of peritonism, shock and general condition-hard. The patient was operated half an hour after admission to hospital. During laparotomy tubal pregnancy coexisting with ovarian carcinoma has been satisfied and total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, appendectomy and staging was done.

RESULTS

Histopathological examination of surgical specimen revealed tubal pregnancy coexisting with bilateral focal ovarian adenocarcinoma (stage IC) and planoepithelial praeinvasive cervical cancer of uterus. Six cycles of PC chemotherapy are given. During second look laparotomy complete pathological response (pCR) was observed. The Ca-125 value was less then 35 IU/ml. Now the patient is followed for disease status every three month. Her health and is good.

CONCLUSION

On the basis of the follow-up of the patient it seams that the coexistence of ovarian carcinoma with cervical cancer and tubal pregnancy neither accelerate the development of disease or make worse the prognosis.