Modified Porro’s Operation in Ovarian Cancer: a Clinical Case

• Main Authors: A. G. Yashchuk, I. B. Fatkullina, I. R. Rahmatullina, I. I. Musin, A. R. Molokanova
• Format: Article
• Language: English
• Published: Bashkir State Medical University 2021-04-01
• Series: Креативная хирургия и онкология
• Subjects: ovarian cancer; adenocarcinoma; pregnancy; neoplastic pregnancy complications; porro’s operation; peritonectomy; lymph node dissection
• Online Access: https://www.surgonco.ru/jour/article/view/568
• ISSN: 2307-0501; 2076-3093

Background. Ovarian cancer in pregnancy is quite rare having a top 5th incidence among other pregnancy-associated tumours [1]. Due to a low population rate in pregnant women, the lack of standardised management of such patients and the paucity of relevant randomised and cohort studies, analyses of individual clinical cases acquire particular importance.Materials and methods. This article presents a clinical case of de novo diagnosed ovarian cancer in pregnancy tackled with a modified Porro’s operation of peritonectomy, para-aortic and parametric lymphadenectomy and greater omentum resection at a gynaecology unit of the Kuvatov Republican Clinical Hospital of Ufa.Results and discussion. This clinical case is special in terms of a rare occurrence of ovarian cancer in pregnancy. The choice of this radical surgical technique is considered optimal for inspecting most plausible metastatic foci and ensuring a life-preserving prognosis.Conclusion. In the absence of standardised management protocols in pregnancy-associated ovarian cancer, further analyses and discussions of routine clinical case evidence are imperative.