TITLE:
Ovarian Dysgerminoma Associated with Pregnancy: A Case Report from the Sylvanus Olympio University Hospital Center
AUTHORS:
Baguilane Douaguibe, Bingo K. M’Bortche, Tina Ayoko Ketevi, Akila Bassowa, Dede Ajavon, T. Dare, Francis Baramna-Bagou, Komi A. Migbegna, Abdoul Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Dysgerminoma, Young, Pregnancy, Adnexectomy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.7,
July
9,
2021
ABSTRACT: Background: Dysgerminoma is a germ cell tumor of the ovary usually found in young
women. It represents 1% to 2% of all ovarian cancers. The preoperative diagnosis is generally difficult. The surgery
and the pathology study are therefore essential for the diagnosis, and optimal management. The incidence of pregnancy with
dysgerminoma is extremely low. The treatment and management during pregnancy
often jeopardize the materno-fetal prognosis. We report a case of ovarian dysgerminoma in an 18-year-old pregnant
woman. Observation: Patient was an
18-year-old, female with no known past medical history, who presented to the
emergency room at 29 weeks + 3 days pregnancy with dyspnea and a voluminous
uterus (height 42 cm). An ultrasound showed an active pregnancy, and a
large vascularized, finely echogenic, multi-partitioned, thick-walled liquid
ovarian tumor. Ca125 was 231.5 IU/ml. Ovarian dysgerminoma was suspected. The surgery and the pathology study of the surgical
specimen confirmed the suspected diagnosis. Patient died on postoperative day 8. Conclusion: Ovarian
dysgerminoma is a rare malignant tumor, which must be suspected in case of complex ovarian mass of young women.
When diagnosed during pregnancy, its management jeopardizes the materno-foetal prognosis.