Pregnancy associated cancer –cancer which was detected during pregnancy, in the first year after birth or at any time in the breastfeeding. Patient A., 22 years old with a diagnosis of "26-27 weeks, pregnancy-associated breast cancer. Breast cancer stage IV. cT4bN3M1. Metastases to the ovary, lymph nodes in the neck on the right. Right-sided metastatic pleural effusion". In 9 weeks find a painless lump in the right breast. Conducted cor-biopsy. Histological examination confirmed invasive cancer of the right breast, special type, clear cell carcinoma glycogen-rich, grade 3, metastases in axillary lymph node and left ovary. Molecular biological subtype of metastatic breast carcinoma to the ovary. Baselinestudy triple negative type of tumor (Pgr-0 points, Her2-neu -0, Ki65-35%). Carried out 2 courses of polychemotherapy according to the scheme: doxorubicin 60 mg/m2 80 mg, cyclophosphamide 600 mg/m2 - 80 mg. Control breast ultrasound showed progression of disease, metastases in the left mammary gland, axial or supraclavicular lymph nodes on the left. Operation: laparotomy, cesarean section, bilateral adnexectomy, subtotal resection of omentum resection of the peritoneum. Intraoperatively: the left ovary presents cystic nodulated tumor, size 20х15х10 cm. The right ovary is similar macroscopic structure, size 6х4х4 sm. Histological study: the right ovary by the tumor tissue is built of cells with polymorphic nuclei anizohromii forming alveolar, trabecular structure and a solid field. Left ovary by the tumor tissue is built of cells with polymorphic nuclei anizohromii forming alveolar, trabecular structure and a solid field. The vessels are determined by tumor emboli.