Ovarian cancer is the leading cause of death from the gynecological cancer. Ovarian cancer is the fifth leading cause of death among the women world wide. It is third leading cancer among Indian women after cervical and breast cancer. Overall incidence of ovarian tumor in pregnancy is 1:2000 births out of which 3-5% are malignant.
Aims & Objective: To evaluate the clinical profile and pregnancy outcomes in patients with ovarian cancer.
We retrospectively analysed medical records of 16 patients who were diagnosed and treated at MKCG medical college between January 2011-December 2016.
Diagnosis was made on the basis of clinical examination and USG imaging.
Asymptomatic cases were diagnosed during routine inspection of tubes and ovaries at caesarian delivery.
Results: 16 cases diagnosed among 40,000 pregnancy, most of the patient belong to age group of 20-25years (57%), 14 patients were Primigravida, Most of the patients were asymptomatic when diagnosed. On histopathology 44% of tumour are epithelial tumour. All 8 cases diagnosed during second and third trimesters underwent staging laparotomy with conservative surgical management which included USO, omentectomy & multiple biopsy. Caesarian hysterectomy was done at 36 weeks of gestation in all above 8 cases. All asymptomatic cases diagnosed during routine inspection of ovaries and tubes at caesarian delivery underwent caesarian hysterectomy with BSO, omentectomy and multiple site biopsies after confirmation of frozen section. Chemotherapy was given in all cases after HP report confirmation. Cyclophosphamide - cisplatin regime were used while in dysgerminoma BEP regime was given.