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Journal of Case Reports
Massive Ovarian Dysgerminoma Presenting as an Unusual Large Intra-abdominal Mass
Arvinder Singh1, Surinderpal2, Sohan Singh1, Aditi Mahajan1, Mohit Khandelwal1
From the Department of Radiodiagnosis1 and Department of Pathology2, Government Medical College, Amritsar, India.
Corresponding Author:
Dr. Arvinder Singh
Email: arvinderdr@rediffmail.com
Received: 16-MAY-2014 Accepted: 05-JUN-2014 Published Online: 30-JUN-2014
DOI: http://dx.doi.org/10.17659/01.2014.0057
Abstract
The management for ovarian dysgerminoma is different from those of other ovarian tumors, making accurate diagnosis crucial for patient care. We report a case of 9 year old girl who presented with abdominal distension. Examination revealed a huge palpable intra-abdominal mass. Plain X ray abdomen showed a large homogenous mass filling the mid part of the abdomen and causing displacement of bowel loops laterally. Abdominal sonography showed a large heterogenous lobulated abdominal mass reaching up to the pelvic brim. CECT abdomen showed a large well defined lobulated heterogeneously enhancing mass of 59-61 HU occupying most of the mid part of abdomen and reaching up to the pelvic brim. It showed multiple areas of necrosis with few small specks of calcification. The mass was removed after laparotomy under general anesthesia. Finally, after histopathological examination with raised ß-human chorionic gonadotropin (ß-hCG) levels, the diagnosis of ovarian germ cell tumor (Dysgerminoma) was made.
Keywords : Dysgerminoma, Ovarian Neoplasms, Diagnostic Imaging, Germinoma, Seminoma.
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