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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 2, February 2014 pp 37-39

Case Report

Growing Teratoma Syndrome of Ovary: An Unusual and a Late Manifestation in the Small Bowel, a Very Rare Encounter

Anjum Ifthikar1, Jayashree V.1, Sujoy Mitra2, Shobha3, Uma Devi K.4, U. D. Bafna5

{1Resident, 3Assistant Professor, 4Associate Professor, 5Professor and HOD}

Department of Gynecologic Oncology, Kidwai Memorial Institute of Oncology, Bangalore, - 560029, Karnataka, INDIA.

2Observers, Wing Commander, Commando Hospital, Bangalore, Karnataka, INDIA.

 

 

Academic Editor : Dr. Bhanap P. L.

Abstract

 

Growing teratoma syndrome of an ovarian non Dysgerminomatous germ cell neoplasm is a rare clinical phenomenon that is characterized by multiple enlarging masses composed of mature elements. Growing teratoma as an ovarian tumour is uncommon,it is more frequently described in testicular germ cell tumours. This report concerned a young woman aged 30 years with growing teratoma late presentation, twenty years after her first surgery, presented like metastaticrecurrent disease, who required complete resection with small bowel anastomosis. The exact cause of conversion and growth is unknown and is hypothesized to be induced by chemotherapy. Knowledge of this entity is important, to avoid misdiagnosis as disease recurrence and continuing chemotherapy, as these patients with non-dysgerminomatous germ cell tumours who present with recurrent metastatic masses during or after chemotherapy,in the context of normalized serum markers are refractory to chemotherapy. Complete resection is essential to prevent progression of tumour and is often curative, hence, it will render better prognosis. Keywords:Bleomycin Etoposide Cisplatin Chemotherapy, Growing teratoma syndrome(GTS), Non dysgerminomatous germ cell tumours,Immature ovarian teratoma.

 
 
 
 
 
 
     
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