Giant pure ovarian dysgerminoma in a young 19-year-old patient

Pelaes-Cruz E.J.; Malpartida-Huamancaja A.R.; Vicuña-Victorio C.X.; Manrique-Allazo G.R.; Santos-Laurente S.A. · Revista Peruana de Ginecologia y Obstetricia (2024) · DOI: 10.31403/rpgo.v70i2612

Resumen

Ovarian dysgerminoma is a very rare neoplasm. It occurs mostly in young women with nonspecific clinical manifestations, although they may express abdominal pain, sensation of mass and menstrual alterations. We report the case of a young multiparous 19-year-old female patient with sensation of intra-abdominal mass, of progressive growth and associated with oppressive pain. On tomographic examination an ovarian-dependent adnexal mass was found, so she underwent a right adnexectomy and freezing biopsy plus staging. Macroscopic evaluation revealed a tumor measuring 25 x 20 x 13 cm, weighing 5,760 grams. By microscopic evaluation and immunohistochemistry studies it was diagnosed as pure dysgerminoma. Based on the average size and history, it was classified as a giant dysgerminoma.

Instituciones: Universidad Nacional de Trujillo; Universidad Continental; Universidad Peruana Los Andes