Dysgermgerminoma in a 14 year old girl: a case report

An accurate diagnosis of ovarian dysgerminoma is crucial as, as its management differs from other ovarian tumours. We report a case of ovarian dyegerminoma in a 14 year old girl who presented with abdominal distention. Examination revealed a huge intra-abdominal mass causing displacement of bowel loops laterally. On ultrasound, a solid heterogeneously hyperechoic lesion of size 18 x 9.4 cm with few cystic and necrotic areas within most likely, left adnexa reaching upto the umbilicus and shows vascularity within both ovaries not seen separately from the lesion. On CT (A+P), a heterogenous hypodense polycystic mass of size 8.5x1.4x16.7 with multiple irregular hypodensities seen in the lower abdomen and pelvis. The mass was removed after laparotomy under general anaesthesia. Finally, the diagnosis of ovarian germ cell tumor (Dysgerminoma was made. Present case presented with marked abdominal distention, without any loss of weight, appetite or any menstrual problem. Such a presentation may be unusual for such a large malignant ovarian mass.

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Multiple recurrence of granulosa cell tumor of the ovary: A case report and literature review

10.1055/s-0039-1685319 ◽

2016 ◽

Author(s):

Varkha Chandra ◽

Sandhya Jain ◽

Neerja Goel ◽

Bindia Gupta ◽

Shalini Rajaram

Keyword(s):

Case Report ◽

Granulosa Cell ◽

Adnexal Mass ◽

Malignant Tumors ◽

Abdominal Mass ◽

Pelvic Mass ◽

Granulosa Cell Tumor ◽

Cell Tumor ◽

Surgical Staging ◽

Granulosa Cell Tumors

Introduction: Granulosa cell tumors comprise approximately 5% of all ovarian malignancy and account for 70% of malignant sex cord stromal tumors. Granulosa cell tumors have been diagnosed from infancy, the peak incidence being perimenopausal age. The potential of malignancy of these tumors is low, recurrences are often late and found in 10-33% of cases. Case Report: A 32-year-old P1L1 presented with large abdominal mass for which she underwent staging laparotomy with debulking surgery. She was a known case of granulosa cell tumor in the past and had undergone three laparotomies, along with chemotherapy. At the age of 13 yrs, she was diagnosed with a stage IA granulosa cell tumor (GCT) of the ovary first time. She underwent surgical staging and removal of left sided adnexal mass, after which she was asymptomatic for 7 years. In 2003 she again presented with lump abdomen for which she underwent resection of adnexal mass, histopathology was consistent with recurrent GCT. After second surgery she also received two cycles of chemotherapy. Despite adjuvant chemotherapy, patient presented again after three years in 2006 with adnexal mass and was found to have a third recurrence. At that time, she received 6 cycles of chemotherapy and the mass regressed. Meanwhile she got married and had one child. After four year in 2010 she again presented with lump abdomen and she underwent surgical staging, total abdominal hysterectomy with right salphingo ophorectomy along with removal of mass. After five year in 2015 she again presented with lump abdomen; there was a large pelvic mass which was removed and patient referred for chemotherapy. Discussion: GCTS which a rare malignant tumors of ovary tend to be associated with late recurrences. Although most recurrences occurs within 10 years after initial diagnosis, there are occasional reports of recurrences after10 years. We experienced the rare case of a patient who relapsed multiple times over 20 years, despite surgical and targeted treatment. Conclusion: The long history of granulosa cell tumor highlights the importance of extended follow up of the patient.

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Multiple recurrence of granulosa cell tumor of the ovary: A case report and literature review

10.1055/s-0039-1685296 ◽

2016 ◽

Author(s):

Varkha Chandra ◽

Sandhya Jain ◽

Neerja Goel ◽

Bindia Gupta ◽

Shalini Rajaram

Keyword(s):

Case Report ◽

Granulosa Cell ◽

Adnexal Mass ◽

Malignant Tumors ◽

Abdominal Mass ◽

Pelvic Mass ◽

Granulosa Cell Tumor ◽

Cell Tumor ◽

Surgical Staging ◽

Granulosa Cell Tumors

Introduction: Granulosa cell tumors comprise approximately 5% of all ovarian malignancy and account for 70% of malignant sex cord stromal tumors. Granulosa cell tumors have been diagnosed from infancy, the peak incidence being perimenopausal age. The potential of malignancy of these tumors is low, recurrences are often late and found in 10-33% of cases. Case Report: A 32-year-old P1L1 presented with large abdominal mass for which she underwent staging laparotomy with debulking surgery. She was a known case of granulosa cell tumor in the past and had undergone three laparotomies, along with chemotherapy. At the age of 13 years, she was diagnosed with a stage IA granulosa cell tumor (GCT) of the ovary first time. She underwent surgical staging and removal of left sided adnexal mass, after which she was asymptomatic for 7 years. In 2003 she again presented with lump abdomen for which she underwent resection of adnexal mass, histopathology was consistent with recurrent GCT. After second surgery she also received two cycles of chemotherapy. Despite adjuvant chemotherapy, patient presented again after three years in 2006 with adnexal mass and was found to have a third recurrence. At that time, she received 6 cycles of chemotherapy and the mass regressed. Meanwhile she got married and had one child. After four year in 2010 she again presented with lump abdomen and she underwent surgical staging, total abdominal hysterectomy with right salphingo ophorectomy along with removal of mass. After five year in 2015 she again presented with lump abdomen; there was a large pelvic mass which was removed and patient referred for chemotherapy. Discussion: GCTS which a rare malignant tumors of ovary tend to be associated with late recurrences. Although most recurrences occurs within 10 years after initial diagnosis, there are occasional reports of recurrences after10 years. We experienced the rare case of a patient who relapsed multiple times over 20 years, despite surgical and targeted treatment. In conclusion the long history of granulosa cell tumor highlights the importance of extended follow up of the patient.

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A Case Report on Malignant Ovarian Germ Cell Tumor

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i54a33717 ◽

2021 ◽

pp. 43-47

Author(s):

Sanket V. Madavi ◽

Samruddhi Gujar ◽

Ranjana Sharma ◽

Ruchira Ankar ◽

Savita Pohekar ◽

...

Keyword(s):

Weight Loss ◽

Case Report ◽

Germ Cell ◽

Germ Cell Tumor ◽

Therapeutic Intervention ◽

Abdominal Mass ◽

Germ Cell Tumors ◽

Clinical Findings ◽

Cell Tumor ◽

Intervention Patient

Introduction: A germ cell is a type of Tumor that arises from germ cell (GCT). Germ cell tumors are both cancerous and benign. The gonads contains majority of germ cell (ovary and testis). GCT that arise outside the gonads could be the result of embryo devlopment errors. Clinical Findings: Abdominal mass without pain, backache, and weight loss. Diagnostic Evaluation: HCG and alphafetoprotein level in the blood identifying women with malignant ovarian germ cell tumor is beneficial. Serum alphafetoprotein and HCG is elevated as condition progress. Therapeutic Intervention: Patient treated with inj. Bleomycin, inj. Cisplatin, inj.Etoposide, tab Pan 40 miligram and inj. Emset. Conclusion: A 3year old female was admitted in AVBRH Sawangi Meghe wardha with the major complaint of right abdominal swelling for 6 month, both when they observed abdominal mass without pain and swelling was small in size and backache and weight loss.

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Mesenteric chylous lymphangioma in the adult patient: a case report

University of Western Ontario Medical Journal ◽

10.5206/uwomj.v84is1.4251 ◽

2015 ◽

Vol 84 (S1) ◽

pp. 3-5

Author(s):

Chris Mykytyshyn ◽

Daniel Pepe

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Adult Patient ◽

Adult Population ◽

Abdominal Mass ◽

Abdominal Distention ◽

Diagnosis And Treatment ◽

Caucasian Male ◽

Mesenteric Lymphangioma

Mesenteric lymphangiomas are a rare cause of intra-abdominal mass in the adult population. The incidence is estimated to be 1 in 100 000 to 1 in 500 000 patients. For this reason, the diagnosis of mesenteric lymphangioma is often overlooked on the differential diagnosis of abdominal mass. We describe the case of a 29-year-old Caucasian male who presented with abdominal distention, nausea, vomiting, jaundice, and constipation, who was ultimately diagnosed with mesenteric lymphangioma. Furthermore, we discuss the etiology and epidemiology, presentation and diagnosis, and treatment of mesenteric lymphangioma.

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Ovarian fibrothecoma with minor sex cord elements: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20201358 ◽

2020 ◽

Vol 8 (4) ◽

pp. 1551

Author(s):

Revathy Mahendran ◽

Madurai Padmanaban Kanchana

Keyword(s):

Case Report ◽

Postmenopausal Women ◽

Abdominal Mass ◽

Stromal Tumour ◽

Rare Entity ◽

Postmenopausal Bleeding ◽

Ovarian Fibroma ◽

Ovarian Tumours

Ovarian fibroma is the most common sex cord stromal tumour of ovary accounting to 1-5% of all ovarian tumours. Minor sex cord elements in ovarian fibroma are a rare entity occupying less than 10% of tumour area. To the best of our knowledge only 20 cases has been reported till date. This case is presented because of its rarity. Authors reported a case of fibrothecoma with minor sex cord elements in a 70yr old postmenopausal women who presented with postmenopausal bleeding with abdominal mass.

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