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World J Surg Oncol. 2009 May 14;7:46. doi: 10.1186/1477-7819-7-46.

Ovarian serous adenocarcinoma identified during IVF: diagnostic approach, surgical management, and reproductive outcome.

Author information

1
Department of Obstetrics and Gynaecology, Division of Reproductive Endocrinology and Infertility, School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland. drdavidwalsh@sims.ie

Abstract

BACKGROUND:

To present a diagnostic evaluation and treatment strategy for serous adenocarcinoma of the ovary discovered during an in vitro fertilisation (IVF) sequence, and report on reproductive outcome after tumour resection and embryo transfer.

CASE PRESENTATION:

Cycle monitoring in IVF identified an abnormal ovarian lesion which was subjected to ultrasound-guided needle aspiration. Cytology suggested malignancy, and unilateral oophorectomy was performed after formal staging. After surgery, the patient underwent an anonymous donor oocyte IVF cycle which established a viable twin intrauterine pregnancy. No recurrence of cancer has been detected in the >72 month follow-up interval; mother and twin daughters continue to do well.

CONCLUSION:

Suspicious adnexal structures noted during controlled ovarian hyperstimulation for IVF warrant assessment, and this report confirms the role of aspiration cytology in such cases. If uterine conservation is possible, successful livebirth can be achieved from IVF if donor oocyes are utilised, as described here.

PMID:
19442277
PMCID:
PMC2689217
DOI:
10.1186/1477-7819-7-46
[Indexed for MEDLINE]
Free PMC Article

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