Endodermal sinus tumor of the vagina in a child.

Malignant germ cell tumors are rare tumors of the childhood accounting for less than 3 % of pediatric malignancies. Endodermal sinus tumor (EST) is the most common histologic subtype of malignant GCT. The vagina is an extremely rare site for GCTs [1]. They are usually diagnosed before 3 years of age. Historically, the approach to therapy has included radical surgical resection with adjuvant irradiation and chemotherapy [2]. We report a case of EST of the vagina which was managed conservatively with chemotherapy alone.