Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 5 ( September-October, 2024 ) > List of Articles

CASE REPORT

Challenges in Diagnosis: Ovarian Dysgerminoma Presenting as Torsion in a Prepubertal Girl: A Case Report

Sumedha Gupta, Varsha Motwani, Dheer S Kalwaniya, Kaushal Kalra

Keywords : Case report, Malignant germ cell tumor, Metastasis, Ovarian dysgerminoma, Torsion

Citation Information : Gupta S, Motwani V, Kalwaniya DS, Kalra K. Challenges in Diagnosis: Ovarian Dysgerminoma Presenting as Torsion in a Prepubertal Girl: A Case Report. J South Asian Feder Obs Gynae 2024; 16 (5):564-567.

DOI: 10.5005/jp-journals-10006-2498

License: CC BY-NC 4.0

Published Online: 23-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim and background: Dysgerminoma is the most common malignant germ cell tumor of the ovary; it usually affects people under the age of twenty and usually manifests as abdominal pain, distention, and a palpable mass. Just 10% of ovarian tumors in patients under the age of 18 are malignant, with functional cysts accounting for the majority of cases. Case description: Here, we describe an uncommon case of an 11-year-old girl who had abdominal discomfort, and torsion and was diagnosed with dysgerminoma. Following a right-sided salpingo-oophorectomy to preserve fertility, the patient was diagnosed with stage III dysgerminoma on histopathology due to omental metastasis. The patient underwent adjuvant chemotherapy due to tumor metastasis to the omentum. Conclusion: Ideally, young patients receiving adjuvant treatment for metastases should have fertility-sparing surgery. Postoperative monitoring and regular follow-up are essential for the early detection and management of patients with metastases, even without any disease indications. Clinical significance: This case underscores the importance of considering dysgerminoma in pediatric patients who present with abdominal symptoms, and highlights the importance of management strategies for treating this rare ovarian malignancy in young individuals.


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