Journal of Nepal Medical Association (Feb 2023)

Encounter with Huge Yolk Sac Ovarian Tumor in a Child: A Case Report

  • Suman Bikram Adhikari,
  • Prabina Swornakar,
  • Prabesh Paudel,
  • Asmita Neupane

DOI
https://doi.org/10.31729/jnma.8041
Journal volume & issue
Vol. 61, no. 258

Abstract

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Yolk sac tumour frequently arises in the gonads as a type of germ cell tumour, though rare is a highly malignant ovarian tumour in children and prompt treatment should be done. We hereby report a case of malignant ovarian tumour presenting with an abdominal lump and increased urinary frequency. Different diagnostic modalities were used such as ultrasonography of the whole abdomen, contrast-enhanced computed tomography abdomen pelvis and tumour markers of beta-human chorionic gonadotropin and alpha-fetoprotein. This revealed an 18.2x14.3x10 cm mass likely a neoplastic germ cell tumour with minimal ascites. A tumour mass was found to arise from the left ovary and complete excision of the tumour along the left fallopian tube was done. Adjuvant chemotherapy started immediately. We hereby present a case of a 9-year-old girl with a huge yolk sac tumour of the left ovary which is rare in our setting and is presented here to differentiate any ovarian mass in this age group.

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