Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature

Ovarian dysgerminoma is a rare type of germ cell tumor. The majority of patient relapses occur within 2 years of diagnosis. Here, we report the case of a 74-year-old woman with a history of ovarian dysgerminoma 39 years earlier. The patient visited the hospital presenting with heartburn. An abdomina...

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Main Authors: Yuichiro Sato, Tohru Hayashi, Hidetaka Yamamoto, Ichiro Niina, Naoya Kuroki, Takeshi Iwamura, Junji Onishi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2020/4737606
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author Yuichiro Sato
Tohru Hayashi
Hidetaka Yamamoto
Ichiro Niina
Naoya Kuroki
Takeshi Iwamura
Junji Onishi
author_facet Yuichiro Sato
Tohru Hayashi
Hidetaka Yamamoto
Ichiro Niina
Naoya Kuroki
Takeshi Iwamura
Junji Onishi
author_sort Yuichiro Sato
collection DOAJ
description Ovarian dysgerminoma is a rare type of germ cell tumor. The majority of patient relapses occur within 2 years of diagnosis. Here, we report the case of a 74-year-old woman with a history of ovarian dysgerminoma 39 years earlier. The patient visited the hospital presenting with heartburn. An abdominal computed tomography (CT) revealed a right retroperitoneal mass, and a primary retroperitoneal tumor was suspected. She underwent surgical resection of the retroperitoneal tumor. Histological examination confirmed a metastatic dysgerminoma to the retroperitoneum. Postoperative CT showed paraaortic and cervical lymph node metastases. The patient was treated with bleomycin, etoposide, and cisplatin chemotherapy. This case demonstrates the difficulties that may be encountered in the differential diagnosis of a retroperitoneal mass and underlines the necessity for understanding a patient’s clinical history.
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language English
publishDate 2020-01-01
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series Case Reports in Pathology
spelling doaj-art-81bf8a2d58a04505b219e49f9b1834102025-02-03T06:43:41ZengWileyCase Reports in Pathology2090-67812090-679X2020-01-01202010.1155/2020/47376064737606Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the LiteratureYuichiro Sato0Tohru Hayashi1Hidetaka Yamamoto2Ichiro Niina3Naoya Kuroki4Takeshi Iwamura5Junji Onishi6Department of Diagnostic Pathology, Miyazaki University Hospital, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, JapanDepartment of Diagnostic Pathology, Junwakai Memorial Hospital, Komatsu, Miyazaki 880-2112, JapanDepartment of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyusyu University, Umade, Fukuoka 812-8582, JapanDepartment of Surgery, Junwakai Memorial Hospital, Komatsu, Miyazaki 880-2112, JapanDepartment of Surgery, Junwakai Memorial Hospital, Komatsu, Miyazaki 880-2112, JapanDepartment of Surgery, Junwakai Memorial Hospital, Komatsu, Miyazaki 880-2112, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, JapanOvarian dysgerminoma is a rare type of germ cell tumor. The majority of patient relapses occur within 2 years of diagnosis. Here, we report the case of a 74-year-old woman with a history of ovarian dysgerminoma 39 years earlier. The patient visited the hospital presenting with heartburn. An abdominal computed tomography (CT) revealed a right retroperitoneal mass, and a primary retroperitoneal tumor was suspected. She underwent surgical resection of the retroperitoneal tumor. Histological examination confirmed a metastatic dysgerminoma to the retroperitoneum. Postoperative CT showed paraaortic and cervical lymph node metastases. The patient was treated with bleomycin, etoposide, and cisplatin chemotherapy. This case demonstrates the difficulties that may be encountered in the differential diagnosis of a retroperitoneal mass and underlines the necessity for understanding a patient’s clinical history.http://dx.doi.org/10.1155/2020/4737606
spellingShingle Yuichiro Sato
Tohru Hayashi
Hidetaka Yamamoto
Ichiro Niina
Naoya Kuroki
Takeshi Iwamura
Junji Onishi
Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
Case Reports in Pathology
title Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
title_full Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
title_fullStr Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
title_full_unstemmed Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
title_short Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature
title_sort late recurrence in ovarian dysgerminoma presenting as a primary retroperitoneal tumor a case report and review of the literature
url http://dx.doi.org/10.1155/2020/4737606
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