"MAXIMAL FERTILITY SPARING SURGERY IN A PATIENT WITH A RARE MIXED GERM CELL TUMOR"

• Main Authors: F. Ghaemmaghami, H. Ayatollahi, B. Daneshbodi F. Ardalan
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2004-10-01
• Series: Acta Medica Iranica
• Subjects: "Germ cell tumor; endodermal sinus tumor; teratoma; yolk sac tumor; tumor marker; fertility sparing surgery"
• Online Access: http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/424.pdf&manuscript_id=424

Ovarian mixed germ cell tumors consisting of endodermal sinus tumor and immature teratoma are very rare and have been reported only in a few case reports. Here we report a rare mixed germ cell tumor of ovary which was consisted of endodermal sinus tumor and immature teratoma components with an unusual intraabdominal location. Patient was a 21 years old girl with the chief compliant of abdominal pain. Ultrasound and CT scan showed a lobulated cystic mass. Laparotomy was performed and due to unusual localization, in which tumor was localized as a tumoral bridge between two ovaries, we performed maximal fertility sparing surgery by preserving ovaries, tubes and uterus. After surgery, 4 courses of chemotherapy with bleomycin, etoposide, and cis-platinum were done. Alfa feto-protein became negative after 3 courses of chemotherapy and she was under observation and in good health during follow up period.