Minimally Invasive Single-Port Laparoscopic Treatment of a Serous Borderline Ovarian Cyst During Pregnancy

A 41-year-old woman was assessed at 13 weeks of spontaneous pregnancy, with a unilocular right ovarian cyst with a solid, moderately vascularized component (Fig. 1), mildly elevated CA125 of 35.7 kU/ml and magnetic resonance imaging with no signs of peritoneal implants.Histological assessment was recommended and at 19 weeks' gestation, a Fig. 1 Transvaginal ultrasound of the right ovarian cyst.The cyst measured 32 28 mm and appeared unilocular with anechoic content.A single papillary projection (17 21 mm) exhibited moderate vascularization (color score 2), a feature suggestive of a borderline ovarian tumor, helping to distinguish it from a benign ovarian cyst.Standardized criteria were used to describe the cyst, although their reliability during pregnancy remains uncertain.