"maximal fertility sparing surgery in a patient with a rare mixed germ cell tumor"
نویسندگان
چکیده
ovarian mixed germ cell tumors consisting of endodermal sinus tumor and immature teratoma are very rare and have been reported only in a few case reports. here we report a rare mixed germ cell tumor of ovary which was consisted of endodermal sinus tumor and immature teratoma components with an unusual intraabdominal location. patient was a 21 years old girl with the chief compliant of abdominal pain. ultrasound and ct scan showed a lobulated cystic mass. laparotomy was performed and due to unusual localization, in which tumor was localized as a tumoral bridge between two ovaries, we performed maximal fertility sparing surgery by preserving ovaries, tubes and uterus. after surgery, 4 courses of chemotherapy with bleomycin, etoposide, and cis-platinum were done. alfa feto-protein became negative after 3 courses of chemotherapy and she was under observation and in good health during follow up period.
منابع مشابه
Immature Teratoma with Embryonal Carcinoma; a Rare Malignant Mixed Germ Cell Tumor in a 13-Year-Old Girl
Malignant mixed germ cell tumors,though rare overall, are the most common type of malignant ovarian neoplasms in young and adolescent girls. These tumors are rapidly growing and can metastasize. We report a case of 13-yr-old girl who presented at SHKM GMC, Nalhar, Mewat, Haryana, India in December 2013 with huge abdominal lump of a malignant mixed germ cell tumor comprising both immature terato...
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BACKGROUND Malignant ovarian germ cell tumor is a rare type of disease, which generally has a good prognosis due to the high chemosensitivity of this type of tumor. Fertility preservation is an important issue because malignant ovarian germ cell tumor commonly affects young women. Although conservation is the standard for early stage, it becomes more debatable as the disease progresses to more ...
متن کاملimmature teratoma with embryonal carcinoma; a rare malignant mixed germ cell tumor in a 13-year-old girl
malignant mixed germ cell tumors,though rare overall, are the most common type of malignant ovarian neoplasms in young and adolescent girls. these tumors are rapidly growing and can metastasize. we report a case of 13-yr-old girl who presented at shkm gmc, nalhar, mewat, haryana, india in december 2013 with huge abdominal lump of a malignant mixed germ cell tumor comprising both immature terato...
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Ovarian germ cell tumours are very rare and affect mainly young girls and women. Due to this, the conservation of reproductive potential is of great concern. One of the most remarkable advances in oncology is in the treatment of malignant ovarian germ cell tumours. Two histological groups are distinguished: dygerminomas, equivalent to testicular seminomas, and non-dysgerminomatous tumours. We r...
متن کاملFertility sparing surgery in gynecologic cancer.
Fertility preservation is one of the major concerns of young patients diagnosed with gynecological cancer. With newer treatment regimens and better surgical techniques, survival rates after cancer treatment have improved, hence preservation of fertility has recently become an important issue in the treatment of gynecological cancers. Fertility sparing surgery may be an option for early-stage ce...
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عنوان ژورنال:
acta medica iranicaجلد ۴۲، شماره ۵، صفحات ۳۹۳-۳۹۶
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