Objective: To describe a rare case of spontaneous conception in a patient with a preexisting metastatic ovarian cancer.
Design: Case report.
Setting: University hospital.
Patient(s): A 39-year-old Asian woman who conceived while undergoing an evaluation for primary infertility and newly detected bilateral adnexal masses.
Intervention(s): Staging laparotomy and total abdominal hysterectomy and bilateral salpingo-oophorectomy.
Main outcome measure(s): Anatomic pathology diagnosis.
Result(s): Blighted ovum and stage IIIC endometrioid adenocarcinoma of ovary.
Conclusion(s): Metastatic ovarian cancer does not prevent either spontaneous ovulation or spontaneous conception.