Yolk sac tumor of vagina: a rare cause of vaginal bleeding in adolescents-a case report
| Autor: | Hicham Jalal, Jamila Elhoudzi, Rabiy El Qadiry, Karima Fouraiji, Meriem Elbaz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Extragonadal medicine.medical_treatment 030231 tropical medicine Case Report Vaginal bleeding child yolk sac tumor serum alpha fetoprotein negative 03 medical and health sciences 0302 clinical medicine Biopsy medicine 030212 general & internal medicine Yolk sac Tumor marker Hysterectomy medicine.diagnostic_test business.industry General Medicine medicine.anatomical_structure Vagina Histopathology Radiology medicine.symptom business |
| Zdroj: | The Pan African Medical Journal Pan African Medical Journal; Vol. 37 No. 1 (2020) |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2020.37.169.20949 |
| Popis: | Yolk sac tumor (YST) is one of the malignant germ-cell tumors (MGCT) that usually occurs in the ovaries and testes of young patients. Its occurrence in the vagina is extremely rare. We present a rare case of extragonadal YST occurring in the vaginal region. A 12-year-old girl, presented with vaginal bleeding and pain in the perineal region. Physical exam identified a limited pelvic mass, 5 x 4cm in size. Abdominal ultrasound and magnetic resonance imaging (MRI) showed a heterogeneous mass in cervico-vaginal region. The patient was taken to the surgery, where an excisional biopsy was obtained. The diagnosis of YST is confirmed by histopathology and immunohistochemistry studies. However, the tumor marker (alpha fetoprotein and BHCG) was normal. The patient was treated according to the French TGM-95 protocol. Surgery was done after chemotherapy, hysterectomy in front of the cervical invasion, with a good decline at 2 years of end of treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|