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Burns MJ, Zheng L, Dalla-Pozza L, Graf NS, Walton J, Tumuluri K. Yolk sac tumours of the orbit and sinonasal tract. Orbit 2022; 41:680-686. [PMID: 35938374 DOI: 10.1080/01676830.2022.2106375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
PURPOSE The aim of this study is to report two cases of paediatric Yolk sac tumours (YST) of the orbit and sinonasal tract, with a major review on the subject. METHODS Two case reports along with a comprehensive retrospective literature review of all English language publications between 1974 and 2021 is presented. Literature review examined the demographics, clinical presentation and diagnostic and prognostic factors of extragonadal YSTs of the orbit and sinonasal tract. RESULTS Orbit and sinuses are rare sites for YST, with only 25 paediatric cases reported in the literature. Extragonadal yolk sac tumours carry a significantly worse outcome than those localised to the gonads, with the 5-year survival of 66% and 81-89%, respectively. Our review found the median age of presentation to be 18 months (18 months for males and 24 months for females), and females are more commonly affected. The most common presentations were proptosis, facial swelling and ophthalmoplegia. Treatments and therefore outcomes varied in the cases due to the large time period. Of the cases reported in the last 10 years, all patients with data provided were alive and disease-free at follow-up. CONCLUSION Sino-orbital yolk sac tumours are rare and have variable presentations, dependent on the extent of local invasion. Early diagnosis and treatment with multimodal therapy are paramount in having improved overall survival.
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Affiliation(s)
| | - Linda Zheng
- Westmead Children's Hospital, Westmead, New South Wales, Australia
| | - Luciano Dalla-Pozza
- Westmead Children's Hospital, Westmead, New South Wales, Australia.,Cancer Centre for Children, The Children's Hospital at Westmead, Sydney Children's Hospital Network, Westmead, New South Wales, Australia
| | - Nicole S Graf
- Westmead Children's Hospital, Westmead, New South Wales, Australia.,Histopathology Department, Westmead Children's Hospital, Westmead, New South Wales, Australia.,University of Western Sydney, Parramatta, New South Wales, Australia
| | - Joanna Walton
- Westmead Children's Hospital, Westmead, New South Wales, Australia
| | - Krishna Tumuluri
- Westmead Children's Hospital, Westmead, New South Wales, Australia.,Department of Ophthalmology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.,Save Sight Institute, Central Clinical School, Discipline of Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, New South Wales, Australia.,Westmead Clinical School, Discipline of Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, New South Wales, Australia
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Kumari N, Das S, Gandhi A, Mahajan A. Primary orbital yolk sac tumor presenting as fungating mass. Orbit 2022:1-4. [PMID: 35258404 DOI: 10.1080/01676830.2022.2037142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Accepted: 01/29/2022] [Indexed: 06/14/2023]
Abstract
Primary yolk sac tumor of the orbit is a rare entity. Orbital involvement is usually seen in young children and proptosis is the commonest presentation. Aggressive orbital involvement and presentation as a fungating mass is rarely seen. We report a case of primary orbital yolk sac tumor with an aggressive presentation that responded well to systemic chemotherapy.
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Affiliation(s)
- Namita Kumari
- Oculoplasty and Ocular Oncology Services, Dr Shroff's Charity Eye Hospital, New Delhi (Delhi), India
| | - Sima Das
- Oculoplasty and Ocular Oncology Services, Dr Shroff's Charity Eye Hospital, New Delhi (Delhi), India
| | - Arpan Gandhi
- Laboratory Services, Dr Shroff's Charity Eye Hospital, New Delhi (Delhi), India
| | - Amita Mahajan
- Pediatric Haemato/Oncology Services, Indraprastha Apollo Hospitals, New Delhi (Delhi), India
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Ren H, Zhuang H, Xiong G. Yolk sac tumor of ear: a case report and literature review of the last 30 years. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2018; 11:2142-2147. [PMID: 31938324 PMCID: PMC6958189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Accepted: 01/16/2018] [Indexed: 06/10/2023]
Abstract
Extra-gonadal pure yolk sac tumor of the ear is very rare. We report a case of a yolk sac tumor of the ear and review the English literature in PubMed. The initial complaint was a mass protruding out of the external auditory canal. Computed tomography (CT) showed a large irregularly enhancing isodense mass lesion measuring 42*16 mm in the right external auditory canal, the right mastoid process, and extending to the right back parapharyngeal space with unclear border. Laboratory studies revealed that serum alpha fetoprotein (AFP) was significantly elevated at 664.60 ng/ml (range, 0 to 25 ng/ml), and neuron-specific enolase (NSE) was 28.3 ng/ml (range, 0 to 16.3 ng/ml). After finishing 6 cycles of chemotherapy, the patient underwent a total resection of yolk sac tumor of the ear. In addition, we review the English literature of the yolk sac tumor of the ear.
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Affiliation(s)
- Hongmiao Ren
- Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University Guangzhou 510080, Guangdong, P. R. China
| | - Huiwen Zhuang
- Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University Guangzhou 510080, Guangdong, P. R. China
| | - Guanxia Xiong
- Otorhinolaryngology Hospital, The First Affiliated Hospital, Sun Yat-sen University Guangzhou 510080, Guangdong, P. R. China
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