Laparoscopic uncontained power morcellation-induced dissemination of ovarian endodermal sinus tumors: A case report
| Autor: | Byoung Ryun Kim, Seong Nam Park, Ha Kyung Oh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Yolk sac tumor endocrine system diseases business.industry Dissemination Morcellation General Medicine Endodermal sinus tumor medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Case report embryonic structures medicine 030211 gastroenterology & hepatology Radiology business Sinus (anatomy) |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | BACKGROUND Endodermal sinus tumors (ESTs), which arise primarily in children and adolescents, account for 20% of malignant ovarian germ cell tumors, but constitute only 1% of all ovarian malignancies. Treatment of ESTs consists of surgical staging with fertility-sparing surgery and chemotherapy. CASE SUMMARY A 15-year-old nulliparous patient was diagnosed with disseminated ovarian ESTs after laparoscopic unilateral salpingo-oophorectomy using uncontained power morcellation for treatment of a ruptured solid adnexal mass in another hospital. Exploratory laparotomy; total abdominal hysterectomy, right salpingo-oophorectomy, and lymphadenectomy were performed with optimal debulking, and surgical stage 3C was assigned to the patient. CONCLUSION In 2014, the Food and Drug Administration noted that power morcellation was probably associated with a risk of disseminating suspected cancerous tissue. Furthermore, the use of power morcellation to remove solid adnexal mass is considered a contraindication because of the potential for a malignant tumor. This case report aims to warn of the dangers of using uncontained power morcellation to treat solid adnexal masses. |
| Databáze: | OpenAIRE |
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