1. Traitement conservateur des tumeurs germinales mixtes de l'ovaire associant dysgerminome et tumeur du sac vitellin. À propos d'un cas et revue de la littérature.
- Author
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Errarhay, S., Bouchikhi, C., Chraybi, M., Châara, H., Bouguern, H., Amarti, A., Melhouf, A., and Banani, A.
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GERM cell tumors , *OVARIAN tumors , *YOLK sac , *CANCER chemotherapy , *PELVIC pain , *OMENTUM , *OVARIECTOMY - Abstract
Malignant ovarian germ cell tumours (MOGCTs) are rare but curable at all stages of the disease. We report the case of a 25-year-old patient who consulted for pelvic pain in her 4th day of post-partum. The gynaecological examination revealed a firm mass independent of the uterus. A pelvic ultrasound and abdomino-pelvic tomography revealed a heterogeneous mass probably linked to the ovary, with ascetic fluid. A laparotomy was indicated. It showed an ovarian tumour localized in the left ovary with ascetic fluid. The patient underwent a left salpingo-oophorectomy with biopsies of the right ovary, peritoneum and the omentum. The histological study showed a dysgerminoma and yolk sac tumor. The level of human chorionic gonadotropin and fetoprotein was normal. Sixmonthly abdomino-pelvic tomography and marker measurements revealed no abnormalities. The patient did not experience any recurrence. MOGCTs are rare neoplasms that affect girls and young women and have good prognosis at all stages of disease with optimal therapy and the majority of MOGCT patients retain their reproductive function. [ABSTRACT FROM AUTHOR]
- Published
- 2010
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