successful pregnancy outcome in recurrent ovarian cancer in a 26 year old: a case report

Objective: to report a case of successful pregnancy outcome in recurrent ovarian cancer in a 26 year old. case report: a 26 years old primigravida presented in antenatal clinic at 23 weeks of pregnancy with recurrence of ovarian cancer of mucinous type. following refusal of surgical management, two courses of single dose carboplatin was administered. however, before third cycle of chemotherapy could be administered ,there was deranged liver functions tests, following which elective cesarean section with staging laparotomy was planned at 34 weeks for breech presentation with oligohydramnios. a live healthy baby girl 2.3kg was delivered. total abdominal hysterectomy with right salpingo-oopherectomy, infracolic omentectomy, appendectomy was done. the final diagnosis was recurrent mucinous ovarian adenocarcinoma. postoperatively, she was given six cycles of chemotherapy (carboplatin and paclitaxel). conclusion: chemotherapy and surgery, both are safe beyond first trimester and multidisciplinary treatment must be planned after taking into account the wishes of couple.