Skip to main content
Article
Ovarian serous adenocarcinoma identified during IVF: diagnostic approach, surgical management, and reproductive outcome.
Obstetrics and Gynaecology Articles
  • David J Walsh, Royal College of Surgeons in Ireland
  • Eric Scott Sills, Royal College of Surgeons in Ireland
  • Lyuda V Shkrobot, Royal College of Surgeons in Ireland
  • Noreen C Gleeson, Coombe Women's Hospital - Dublin
  • Mary N Sheppard, Royal Brompton Hospital - London
  • Anthony PH Walsh, Royal College of Surgeons in Ireland
Peer Reviewed
1
Document Type
Article
Publication Date
14-5-2009
Keywords
  • Adult,
  • Cystadenocarcinoma,
  • Serous,
  • Female,
  • Fertilization in Vitro,
  • Humans,
  • Ovarian Neoplasms,
  • Pregnancy,
  • Pregnancy Complications,
  • Neoplastic
Comments

This article is also available from www.biomedcentral.com

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.

PubMed ID
19442277
DOI Link
10.1186/1477-7819-7-46
Citation Information
Walsh DJ, Sills ES, Shkrobot LV, Gleeson NC, Sheppard MN, Walsh AP. Ovarian serous adenocarcinoma identified during IVF: diagnostic approach, surgical management, and reproductive outcome. World Journal of Surgical Oncology. 2009;7:46.