Giving Birth After Fertility Sparing Treatment for a Yolk Sac Tumour: Case Report
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Yolk Sac Tumours (YSTs) of the ovary, also called Endodermal Sinus Tumours (ESTs), are the second most common Malignant Ovarian Germ Cell Tumours (MOGCTs), after dysgerminomas. YSTs occur primarily in children and young women. We present a case report of a 20-year-old woman who had been diagnosed with YST (tumour diameter of 29 cm). The patient underwent fertility sparing surgery and was subsequently treated with adjuvant chemotherapy (four cycles of bleomycin, etoposide and cisplatin). Two years after the diagnosis of YST, she successfully gave birth to a healthy girl (birth weight 3,500 g, Apgar score of 9-10 and a spontaneous vaginal delivery). During pregnancy, she had microscopic hematuria and bilateral nephrolithiasis, was ultrasonographically diagnosed. The conception after fertility sparing treatment of YST is possible and the birth of a healthy child is feasible. There are no current guidelines for surveillance of such patients during pregnancy; however, structured pregnancy surveillance in such survivors seems necessary
Authors and Affiliations
Georgios-Marios Makris, Alexandros Fotiou, Georgios Chrelias, Marco-Johannes Battista, Charalampos Chrelias
Keywords
Related Articles
- EP ID EP360734
- DOI 10.7860/JCDR/2017/25820.10524
- Views 82
- Downloads 0
Socio-demographic and Lifestyle Determinants of Insomnia among Adult Patients Attending Primary Healthcare Centres, Jeddah: A Cross-sectional Study
ABSTRACT Introduction: Insomnia is the most prevalent sleep disorder. Its prevalence differs worldwide, from 5% to 40% depending on the criteria used to define insomnia, techniques, and method of collecting data. In Saud...
Evaluation of Semen Oxidative Stress and Sperm DNA Damage in Cases of Unexplained Foetal Congenital Anomalies- A Pilot Study
Introduction: Birth defects lead to significant neonatal morbidity and mortality. Although, maternal factors have been widely studied, paternal factors have not received much attention. Inherent integrity of the sperm DN...
Management of an Unusual Ectopic Eruption of Maxillary Canine
Transposition of teeth is a rare condition, with a prevalence of 0.3-0.4% in general population. They are more commonly observed in females, and may occur unilaterally/bilaterally with greater frequency of left side occu...
Duodenal Biopsy in the Evaluation of Chronic Diarrhoea in Immunosuppressed Patients from a Tertiary Care Center in Southern India
ABSTRACT Introduction: Chronic diarrhoea in immunocompromised patients is due to a variety of causes including opportunistic pathogens that flourish in such a milieu. While stool examination may diagnose some pathogens,...
Bilateral Single System Orthotopic Ureterocele with Bilateral Multiple Calculi Presented with Retention of Urine - an Urological Emergency
The ureterocele is an uncommon congenital anomaly of the lower ureter. Ureterocele with a single pelvicalyceal system, bilateral, and orthotopic variety is less common. Calculi within bilateral ureterocele are a rare occ...