Laparoscopic Treatment of Mixed Malignant Ovarian Germ Cell Tumor in a 16-Year-Old Female Adolescent

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• 作者：Caroline Friedman ; MD ; ^{cff9001@nyp.org" class="auth_mail" title="E-mail the corresponding author} ; Tamatha Fenster ; MD
• 关键词：Laparoscopy ; Germ cell tumor ; Mixed malignant germ cell tumor ; Adolescent
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：29
• 期：6
• 页码：e91-e94
• 全文大小：602 K

文摘

Malignant ovarian germ cell tumors are rare entities, although they account for a large proportion of ovarian masses in young women. These tumors have traditionally been removed via laparotomy, because of their large size and solid nature. The use of laparoscopy for treatment of adnexal masses in adolescents has been heavily debated and poorly studied to date.

Case

A 16-year-old female patient presented with abdominal pain and an 11-cm adnexal mass on ultrasound. An emergent laparoscopic salpingo-oophorectomy was performed without complication. Pathology revealed a mixed malignant ovarian germ cell tumor.

Summary and Conclusion

Laparoscopic fertility-sparing surgery offers many benefits over laparotomy, and should be considered in cases of young women with large adnexal masses, even if potential for malignancy exists.