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Journal of Case Reports
A Rare Case of a Synchronous Ovarian Tumor in a Young Girl
Manisha H Albal, Kanav P Kumar
Department of Pediatric Surgery, NKP Salve Institute of Medical Sciences & Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.
Corresponding Author:
Dr. Kanav P Kumar
Email: kanav.k92@gmail.com
Received: 14-APR-2017 Accepted: 01-AUG-2018 Published Online: 10-SEP-2018
DOI: http://dx.doi.org/10.17659/01.2018.0057
Background: Bilateral involvement of ovarian tumors is well known. Very few cases of synchronous bilateral primary ovarian tumors of different histologic subtypes are reported. Here we report a rare case of a left ovarian dysgerminoma with a right ovarian teratoma in an 11 year old girl. Case Report: Patient presented with abdominal pain since one month. A lump of size 15×10 cm was occupying the whole abdomen. CECT abdomen showed a solid-cystic, heterogeneous mass arising from the pelvis. Alpha-fetoprotein (AFP), ß-human chorionic gonadotropin (ß-HCG) and lactate dehydrogenase (LDH) were elevated. Bilateral salpingo-oopherectomy with infra-colic-omentectomy was performed. Histopathology revealed a left ovarian dysgerminoma and a right ovarian teratoma. Conclusion: In pediatric population, germ cell tumors are the commonest type. Concurrent tumors can be synchronous, independently derived, non-metastatic or metastatic. In adolescent patients, a timely diagnosis is essential as bilateral ovarian tumors pose challenges regarding ovarian conservation and reproductive future.
Keywords : Abdominal Lump, Ovarian Tumor, Dysgerminoma, Ovarian Teratoma, Pain.
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