J Med Assoc Thai 2008; 91 (5):764

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A Case of Ovarian Endodermal Sinus Tumor Diagnosed during Pregnancy
Thanaboonyawat I Mail, Benjapibal M

Pregnancy complicated by endodermal sinus tumor of the ovary is extremely rare. The authors
present a case report of a pregnant woman with persistent left adnexal mass and subsequently found to have
a primary endodermal sinus tumor of the ovary that was diagnosed at 19 weeks of gestation. After left salpingooophorectomy
had been performed, the patient chose to terminate the pregnancy before the initiation of
combination chemotherapy with bleomycin, etoposide, and cisplatin. The response to chemotherapy was not
satisfactory. The patient expired after seven cycles of treatment had been completed because of pulmonary
fibrosis and the drug toxicity of bleomycin.

Keywords: Endodermal sinus tumor, Ovarian cancer, Pregnancy

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