{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:47:56Z","timestamp":1785764876912,"version":"3.56.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cancer during pregnancy is uncommon. Symptoms caused by ovarian dysgerminoma in pregnancy can be difficult to recognize, leading to a delay in diagnosis and treatment. In addition, treatment of twisted ovarian dysgerminoma in pregnancy to improve the maternal and perinatal outcomes is the main challenges that confront obstetricians and gynecologic oncologists because surgery often results in preterm labor and delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 29-year-old woman primigravida came with severe lower abdominal pain. An intrauterine foetus at 19\u00a0weeks of gestation and an enlarged left ovarian mass measuring 15.3\u00a0\u00d7\u00a010.3\u00a0\u00d7\u00a08 cm were discovered by pelvic ultrasonography. A left salpingo-oophorectomy was performed, and the histology revealed an ovarian dysgerminoma. She had a spontaneous vaginal delivery at term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Dysgerminoma is the most frequent malignant ovarian germ cell tumor in females. Due to physiological changes, it may be a challenge to diagnose ovarian torsion in early pregnancy. In addition, the treatment of large ovarian tumors in pregnancy is a challenge because surgery often results in preterm labor and delivery. Fertility-sparing surgery is acceptable in young women. Chemotherapy for ovarian dysgerminoma is recommended for International Federation of Gynecology and Obstetrics (FIGO) stages II, III, and IV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There are many challenges when performing salpingo-oophorectomy for a large twisted ovarian tumor in early pregnancy. The decision must balance the risks of surgery against the possibility of losing the pregnancy and the urgency of acting to protect the mother\u2019s health. The management depends on the gestational age, tumor stage, and the patient\u2019s desire to continue the pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/rc9.0000000000000065","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:09:41Z","timestamp":1768396181000},"page":"291-295","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Salpingo-oophorectomy for twisted ovarian dysgerminoma in a prestigious pregnancy: challenges and outcomes. A case report"],"prefix":"10.1097","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5481-3934","authenticated-orcid":false,"given":"Mpoyi Mukeba","family":"Constantin","sequence":"first","affiliation":[{"name":"School of Medicine, Department of Obstetrics and Gynaecology at Cliniques Universitaires de Mbujimayi, Universit\u00e9 Officielle de Mbujimayi, Mbujimayi, Democratic Republic of the Congo"},{"name":"School of Medicine, Department of Obstetrics and Gynaecology at Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Republic of Tanzania"},{"name":"Department of Obstetrics and Gynaecology at Muhimbili National Hospital, Dar-es-Salaam, Republic of Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damas","family":"Baruti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology at Muhimbili National Hospital, Dar-es-Salaam, Republic of Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bosco","family":"Mapunda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology at Muhimbili National Hospital, Dar-es-Salaam, Republic of Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"R1-20260803","article-title":"Pregnancy with giant ovarian dysgerminoma: A case report and literature review","volume":"99","author":"Zhang","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"e261692","DOI":"10.1136\/bcr-2024-261692","article-title":"Unusual presentation of an aggressive ovarian malignancy in a young pregnant woman","volume":"18","author":"Bhat","year":"2025","journal-title":"BMJ Case Rep"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"1983\u201387","DOI":"10.1016\/j.fertnstert.2008.09.028","article-title":"The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy","volume":"92","author":"Smorgick","year":"2009","journal-title":"Fertil Steril"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"1174\u201379","DOI":"10.3889\/oamjms.2019.251","article-title":"Management comprehensive multidisciplinary of malignant ovarian germ cell tumors and Feto - 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