SPONTANEOUS PREGNANCY AFTER 13 YEARS OF AMENORRHEA IN A PATIENT WITH A VOLUMINOUS OVARIAN DYSGERMINOMA AND SUBMITTED TO LEFT ADNEXECTOMY AND RADIOTHERAPY

The authors illustrate the case of a 17-year-old patient who was submi tted to left adnexectomy in view of all ovarian dysgerminoma 24 cm in diameter and weighing 2,800 g. She was subsequently submitted to two c ycles of radiotherapy. Following a period of amenorrhea lasting 13 yea rs and characterized by high serum levels of gonadotropins, the patien t had a spontaneous pregnancy and at 33 weeks of gestation delivered a live and vital fetus. Therefore the occurrence of post-radiotherapy a menorrhea, characterized by high serum gonadotropin levels, should not always be considered pathognomonic of precocious menopause. The possi bility that radiotherapy causes only a temporary alteration in ovarian activity should also be taken into consideration.