Surgical Approach to Pediatric Ovarian Growing Teratoma Syndrome: A Case Report.

Autor: Moturu A; Texas Children's Hospital, Houston, Texas; Baylor college of medicine, department of surgery, division of pediatric surgery., Cheng L; Baylor college of medicine, department of surgery, division of pediatric surgery., Dietrich JE; Department of Ob-Gyn, Division of Pediatric Gynecology., Muscal J; Division of Pediatric Oncology., Kukreja KU; Division of Pediatric Radiology., Naik-Mathuria BJ; Baylor college of medicine, department of surgery, division of pediatric surgery. Electronic address: bjnaikma@texaschildrens.org.
Jazyk: angličtina
Zdroj: Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2021 Dec; Vol. 34 (6), pp. 876-881. Date of Electronic Publication: 2021 Jul 30.
DOI: 10.1016/j.jpag.2021.07.011
Abstrakt: Background: Growing teratoma syndrome is defined as conversion of a metastatic immature tumor to a mature tumor after adjuvant chemotherapy and remains an area of investigation because of its unclear pathogenesis. Because of its risk of malignant transformation, the primary treatment strategy for pediatric patients is surgical resection.
Case: In this report we present a case of a pediatric patient with recurrent growing teratoma syndrome who was treated with chemotherapy, debulking procedures, and cryoablation for the growing nodules throughout her abdominal cavity. The patient has had a good clinical outcome without recurrent malignant tumor.
Summary and Conclusion: These masses do not always regress with chemotherapy and complete surgical excision or ablation should be attempted when possible.
(Copyright © 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE