Nonconventional Management of Bleeding Dysgerminoma in Adolescent Syrian Female

Abstract

Dysgerminoma makes up two thirds of all malignant ovarian neoplasms in children and adolescent (Frederick, Semin Pediatr Surg 21:51–60, 2012). Peak incidence in women is in their early 20s. This tumor may involve both ovaries in 10–15% of patients and often spreads to retroperitoneal lymph nodes (Frederick, Semin Pediatr Surg 21:51–60, 2012). Presenting symptoms are abdominal pain, distension, lower abdominal fullness, and urinary symptoms. Preoperative assessment should include tumor markers (AFP, HCG) and ultrasound followed by abdominal CT scan (Olson et al., Principles and practice of pediatric oncology. Lippincott Williams and Wilkins, Philadelphia, 1045–1067, 2011). The COG germ cell committee recommends that surgical exploration should be done through laparotomy (Olson et al., Principles and practice of pediatric oncology. Lippincott Williams and Wilkins, Philadelphia, 1045–1067, 2011; Gershenson et al., J Clin Oncol 8:715–720, 1990). Uninvolved fallopian tube and uterus should be spared to preserve fertility. We present here the case of a 13-year-old Syrian female with dysgerminoma of ovary after severe complications of surgery done at home.