Abstract: Journal of Gynecology Obstetrics and Mother Health

Abstract:
Ovarian cancer during pregnancy is rare but presents significant diagnostic and management challenges. Adnexal masses are detected in 0.15–5.7% of pregnancies, with only a small fraction being malignant. Risk factors such as BRCA1 and BRCA2 mutations significantly increase the likelihood of developing ovarian cancer. Early-stage ovarian cancer is often asymptomatic, and most cases are diagnosed at advanced stages, leading to poor prognosis. Screening methods are inadequate, and timely diagnosis remains challenging. We present a case of a 27-week preg nant woman diagnosed with late-stage high-grade ovarian carcinoma. Despite pregnancy often facilitating early incidental detection of adnexal masses, this case underscores the importance of vigilance and multidisciplinary management in rare presentations of advanced ovarian malignancy during gestation.