Prof. dr Snezana Rakic, graduate in 1986 Belgrade University Medical School, Master deegre:Belgrade University Medical School in Human reproduction; Belgrade University Medical School PH.D im 1996, OB/GYN specialist in 1994. Work in University OB/GYN Clinic Narodni Front in 1989 on position. Cheif of Delivery departement since 2006, and Director of OB/GYN Clinic Narodni Front since 2013 and still; Became Assistant in 1997 University of Belgrade Medical School; Assistant professor in 2005 University of Belgrade Medical School and Profesor in 2012 University of Belgrade Medical School . She is author and coauthor over 176 publications in national and foreign literature. International invited speaker:Ian Donald- Inter University School of Medical Ultrasound from 2005; President of the Serbian Perinatal Society 2000-2004; Memeber of the Serbian Medical Society 1990- ; Member of the Serbain and Montenegro Gynecological Socety 1995- ; Member and mentor of the Serbian Ultrasound Society; Invited speaker and member of International IAN Donald School of Ultrasound; President of the Serbian Gynecological Society (SLD) 2012-; Member of the Serbian and Montenegro Perinatal Soceity1993; In SANU:Member of the Departement : Biology of the human reproduction
The aim of our study was to investigate the incidence of ovarian malignant neoplasms in pregnancy.In the prospective study, during a 2-year period of time, we had the ethical dilemma concerning the conciliar treatment vs the patient’s wish to deliver and save the reproductive capabilities. We examined 37 pregnant women; the incidence of ovarian cancer was 13,5% vs 6,5% in other works. Diagnoses were made by ultrasound criteria and physical examinations. Statistically significant results were obtained by Student t test. Mean gestational age was 20,1 weeks and mean age 31,1 years. Treatment depends on the neoplasms type, grade and presence of the metastatic pathways. In benign neoplasms, we used laparoscopic treatment with minor invasion. Distribution of benign neoplasms was in the same range as that in other works.
In our prospective study, we found the higher incidence of ovarian malignancy in pregnancy- 13,5%, P< 0.05. Ultrasonographic criteria are essential for the diagnosis of ovarian neoplasms.The size, morphology, and range of RI indices of the ovarian neoplasms in the second trimester are essential criteria for further treatment. The incidence of benign neoplasms in pregnancy is equal to that observed in other works.For the benign ovarian neoplasms, the method of choice for further treatment could be laparoscopy.The main decision is the termination of pregnancy due to conciliar treatment or the patient’s wish to save the reproductive capabilities in such cases.