Rare association of the ovarian adenocarcinoma with pregnancy: A case report

The association of ovarian malignancy with pregnancy is rare; accounting for 3–6% of ovarian masses of which malignant germ cell tumors represent the type most frequently associated with pregnancy, whereas the incidence of epithelial ovarian cancer is only 1/12,000 to 1/50,000 of pregnancies. The diagnosis and management of ovarian cancer in pregnancy remain poorly codified because of the rarity of cases and the limited data available on this pathology. We report here the case of a 45-year-old woman with a large ovarian mucinous adenocarcinoma diagnosed during pregnancy, identified by ultrasound and magnetic resonance imaging. The patient was treated by surgical resection followed by adjuvant chemotherapy with carboplatin and paclitaxel with a follow-up of 36 months, she is in complete remission. •The association of ovarian malignancy with pregnancy is rare.•The timing of delivery in patients with ovarian cancer again depends on stage and gestational age.•The therapeutic approach should focus on a multidisciplinary team integrating gynecologic oncology, perinatology, and neonatology services.