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294 Surgery for large mucinous borderline ovarian tumor with preterm c-section: a case report
  1. Caesar Muhammad Wijaya,
  2. Syamel Muhammad,
  3. Yusrawati Yusrawati and
  4. Puja Agung Antonius
  1. Universitas Andalas, Padang, Indonesia


Introduction/Background Borderline ovarian tumour (BOT) is a proliferative disease that does not damage the basal layer of the ovary. Their histopathology is between benign and malignant tumours, accounting for 10% of epithelial ovarian tumours. Pregnancy complicated with large ovarian tumours makes difficult in pregnancy and management for the tumour, therefore it is important to perform good surgery procedures for both the mother and fetus.

Methodology Our study aimed to report a case of surgery for a large mucinous borderline ovarian tumour with preterm C-Section included the anaesthesia problem within it

Results A 32-year-old woman at 28 weeks of pregnancy diagnosed with suspected ovarian cancer suggested mucinous type and massive ascites was referred from the Oncology Polyclinic at Dr. M. Djamil Central General Hospital Padang. The patient complained of upper abdominal pain and shortness of breath. Ultrasound showed 31–32 weeks with suspected malignant mucinous ovarian tumours size 31.43cm x 18.08cm. Perform C-section and tumour removal procedure with conservative surgical staging. At the surgery c-section difficult to perform because of the mass push uterus to the posterior so we remove the large tumour first, histology results showed a mucinous borderline ovarian tumour.

Borderline tumours are one of the most frequently diagnosed ovarian tumours in pregnancy because one-third of all borderline tumours are diagnosed in women aged less than 40 years. Surgery face technique difficulty for the surgery performed complicated with large mass so tumour must be remove first before the c-section and anaesthesia must be tailored to compensate the babby

Conclusion Surgery for large ovarian tumour in c-section the removal tumour first is possible to give save c-section and continue with surgical staging and regional anaesthesia combined with sedative is safe for the baby and adequate enough for surgical staging

Disclosures No Disclosure.

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