primary ovarian carcinoma associated with ovulation induction: a case report

case presentation the studied patient was a 32-year-old g1p1 woman with abdominal pain who was diagnosed with a large ovarian cyst during ovulation induction, which could possibly raise the risk of ovarian torsion. she had a 2-year secondary infertility and had received three cycles of ovulation induction with letrozole 6 months earlier. an emergency laparoscopy showed large complex ovarian cysts without torsion. we then performed a cystectomy. based on the pathology report revealing a primary ovarian cystadenocarcinoma, the patient underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and retroperitoneal lymphadenectomy. introduction the relationship between ovulation induction and ovarian cancer is an important issue in gynecology. conclusions the emergence of a suspected ovarian cyst during letrozole-induced ovulation is of great importance and needs to be investigated.