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Case Reports in Oncological Medicine
Volume 2014 (2014), Article ID 910852, 4 pages
http://dx.doi.org/10.1155/2014/910852
Case Report

Advanced Ovarian Dysgerminoma Infiltrating Both Ovaries and Uterus in a 7-Year-Old Girl

1Department of Pediatric Surgery, University Clinical Centre, Laxha e Spitalit PN, 10000 Pristina, Kosovo
2University Clinical Centre, Pathology Institute, 10000 Pristina, Kosovo
3Department of Anesthesiology and Reanimation, University Clinical Centre, 10000 Pristina, Kosovo

Received 28 November 2013; Accepted 16 January 2014; Published 23 February 2014

Academic Editors: C. Gennatas and L. Lu

Copyright © 2014 Nexhmi Hyseni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Ovarian dysgerminoma is a rare malignant ovarian germ cell tumor with its peak incidence in young women. Abdominal pain, abdominal distention, and the presence of a palpable mass are common symptoms at presentation. Depending on the FIGO stage at presentation the prognosis of dysgerminomas after surgical treatment, adjuvant chemotherapy, and radiotherapy is promising. Case Presentation. A 7-year-old girl was presented at our clinic with abdominal pain in all abdominal quadrants. Later the pain localized in the region of her right ovary. CT scan revealed a massive formation which was connected to her right ovary. Conclusion. Although malignant ovarian germ cell tumours are rare in children, physicians must always consider the possibility of MOGT-occurrences. The clinical symptoms might not be specific: abdominal pain, abdominal distention, nausea, and vomiting. In order to make a correct diagnosis the patients should undergo a complete clinical examination including radiological scans. Initial management is frequently surgery, followed by adjuvant chemotherapy and radiotherapy. Although disgerminoma is malignant tumor, the prognosis is promising.