Manejo y tratamiento del tumor del seno endodérmico de ovario en adolescente de 14 años: reporte de caso

Malignant tumors in adolescence are rare, and they are usually of germinal origin. Specifically, endodermal sinus tumors of the ovary are exceptional in this population. In this case report, we present a 14-year-old adolescent diagnosed with this type of tumor in her right ovary at the Gynecology Se...

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Bibliographic Details
Authors: Mallqui-Mejía, Mirela A., Piedra-Hidalgo, María F., Calderón-Villavicencio, Otilia, Lazarte-Rantes, Claudia, De la Cruz-Hilario, Luis Jacinto
Format: article
Status:Published version
Publication Date:2023
Country:Perú
Institution:Instituto Nacional de Salud del Niño San Borja
Repository:Investigación e Innovación Clínica y Quirúrgica Pediátrica
Language:Spanish
OAI Identifier:oai:ojs.pkp.sfu.ca:article/16
Online Access:https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/view/16
Access Level:Open access
Keyword:Neoplasias de Células Germinales y Embrionarias
Tumor del Seno Endodérmico
Saco Vitelino
Adolescentes
Neoplasms, Germ Cell and Embryonal
Endodermal Sinus Tumor
Yolk Sac
Adolescents
Description
Summary:Malignant tumors in adolescence are rare, and they are usually of germinal origin. Specifically, endodermal sinus tumors of the ovary are exceptional in this population. In this case report, we present a 14-year-old adolescent diagnosed with this type of tumor in her right ovary at the Gynecology Service of the Instituto Nacional de Salud del Niño San Borja, Lima, Peru. This case is the first of its kind in the institution, and no similar cases have been reported in our country, underscoring its significance. The patient had a large mixed tumor of 1470 grams, detected through pelvic magnetic resonance imaging. Tumor markers allowed a presumptive diagnosis of a probably malignant ovarian tumor. As a result, the patient underwent laparotomy, unilateral salpingo-oophorectomy, frozen biopsy, and staging. Subsequently, the patient received chemotherapy with good results, and alpha-fetoprotein levels normalized during follow up.