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Ovary-preserving tumorectomy for immature teratoma in an adolescent – Case report

  • M. Djukic1,*,
  • Z. Stankovic2
  • M. Vasiljevic1
  • B. Vranes3
  • D. Savic2
  • S. Djuricic2

1University of Belgrade, Faculty of Medicine, Clinic of Obstetrics and Gynecology “Narodni Front”, Belgrade

2Department of Pediatric and Adolescent Gynecology, Department of Pediatric Surgery Mother and Child Health Institute of Serbia “Dr Vukan Cupic”, Belgrade

3Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade (Serbia)

DOI: 10.12892/ejgo24272014 Vol.35,Issue 2,March 2014 pp.199-201

Published: 10 March 2014

*Corresponding Author(s): M. Djukic E-mail: djukic.milan@comline.net

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Abstract

The authors present a case of a 14-year-old premenarchal girl with a large solid tumor of the left ovary. The rim of normal ovarian tissue was visible around the tumor on ultrasonography scan. Although the levels of two tumor markers, LDH and CA125, were elevated, the authors performed an organ-sparing tumorectomy. The final pathology report revealed foci of immature neural tissue, with a final diagnosis immature teratoma Stage Ia.


Keywords

Ovary; Tumor; Ultrasound; Immature teratoma.

Cite and Share

M. Djukic,Z. Stankovic,M. Vasiljevic,B. Vranes,D. Savic,S. Djuricic. Ovary-preserving tumorectomy for immature teratoma in an adolescent – Case report. European Journal of Gynaecological Oncology. 2014. 35(2);199-201.

URL:

https://www.ejgo.net/articles/10.12892/ejgo24272014

References

[1] Hillaby K., Aslam N., Salim R., Lawrence A., Raju K.S., Jurkovic D.: “The value of detection of normal ovarian tissue (the ‘ovarian crescent sign’) in the differential diagnosis of adnexal masses”. Ultrasound Obstet. Gynecol., 2004, 23, 63.

[2] Stankovic Z.B., Bjelica A., Djukic M.K., Savic D.: “Value of ultrasonographic detection of normal ovarian tissue in the differential diagnosis of adnexal masses in pediatric patients”. Ultrasound Obstet. Gynecol., 2010, 36, 88.

[3] Takeda A., Manabe S., Hosono S., Nakamura H.: “Laparoscopic surgery in 12 cases of adnexal disease occurring in girls aged 15 years or younger”. J. Minim.Invasive. Gynecol., 2005, 12, 234.

[4] Ueland F.R., DePriest P.D., Pavlik E.J., Kryscio R.J., van Nagell Jr J.R.: “Preoperative differentiation of malignant from benign ovarian tumors: the efficacy of morphology indexing and Doppler flow sonography”. Gynecol. Oncol., 2003, 91, 46.

[5] Valentin L., Jurkovic D., Van Calster B., Testa A., Van Holsbeke C., Bourne T., et al.: “Adding a single CA 125 measurement to ultrasound imaging performed by an experienced examiner does not improve preoperative discrimination between benign and malignant adnexal masses”. Ultrasound Obstet. Gynecol., 2009, 34, 345.

[6] O’Connor D.M., Norris H.J.: “The influence of grade on the outcome of stage I ovarian immature (malignant) teratomas and the reproducibility of grading”. Int. J. Gynecol. Pathol., 1994, 13, 283.

[7] Russell P., Farnsworth A.: “Teratomas–immature”. In: Russell P., Farnsworth A. (eds)., Surgical pathology of the ovaries, 2nd ed. Edinburgh: Churchill Livingstone, 1997, 533.

[8] Einarsson J.I., Edwards C.L., Zurawin R.K.: “Immature ovarian teratoma in an adolescent: case report and review of the literature”. J. Pediatr. Adolesc. Gynecol., 2004, 17, 187.

[9] Candiani M., Barbieri M., Bottani B., Bertulessi C., Vignali M., Agnoli B., et al.: “Ovarian recovery after laparoscopic enucleation of ovarian cysts: insights from echographic short-term postsurgical follow-up”. J. Minim. Invasive. Gynecol., 2005, 12, 409.

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