Case Age (years) Presenting Symptom Size of cyst Clinical course Type of surgery Chemotherapy FIGO Stage Maternal and Fetal outcome Author/ year* Mother Fetus 1 31 Asymptomatic 14 Laparotomy at 10 weks, then normal vaginal delivery at 39 weeks R-SO, L-WR and biopsy of PLN None Ia A/W, 2 years A/W Kobayashi/ 1996 [9] 2 33 Asymptomatic 6.5 Laparotomy at 13 weeks,then POC TAH, BL-SO, OMT, and LND Cisplatin irinotecan Ic Unknown Dead, 12 weeks Sugiyama/ 1997 [10] 3 31 Abdominal pain   1st laparotomy at 33 weeks, POC, then 2nd laparotomy and POC 1:CS and R-WR 2:MRH, B-SO, OMT, LND Cisplatin irinotecan IIc(a) A/W, 1 years A/W Nagano/ 1999 [11] 4 28 Asymptomatic 6.5 Laparotomy at 37 weeks CS and R-SO None Ia A/W, 3 years A/W Satoh/ 2000 [12] 5 37 Asymptomatic 6 1st laparotomy at 14 weeks, then 2nd laparotomy at 34 weeks 1:L-Cystectomy 2:CS, TAH, B-SO and OMT None Ic A/W, 4 years A/W Markrydimas/ 2003 [13] 6 35 Asymptomatic 13.8 1st laparotomy at 36 weeks, then 2nd laparotomy at POC 1:CS 2:L-SO Paclitaxel carboplatin Ic A/W, 6 years A/W Hwang/ 2003 [14] 7 41 Asymptomatic 10 Laparotomy, then D&C R-SO and OMT None Ic(b) A/W Dead, 12 weeks Matsui/ 2010 [15] 8 28 Asymptomatic 10 Laparotomy at 9 weeks, then vaginal delivery at term R-SO, L-WR, OMT and biopsy of PLN None IIc A/W, 5 years A/W Shin/ 2012 [16] 9 41 Asymptomatic 4.1 Laparotomy at 1year after birth B-SO, TAH, OMT, and and biopsy of PLN None Ia A/W, 6 years A/W Present case *Number in Parenthesis, reference number Abbreviations: A/W: alive and well; BL: Bilateral; CS: Cesarean Section; D&C: Dilatation and Curettage; L: Left; LND: Lymph Node Dissection; mRH: modified Radical Hysterectomy; OMT: Omentectomy; PAN: Paraaortic lymph Node; POC: Postoperative Chemotherapy; R: Right; SO: Salpingo-oophorectomy; TAH: Total Abdominal Simple Hysterectomy; WR: Wedge Resection

Table 1: Eight cases of ovarian clear cell carcinoma associated pregnancy.

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