Moturu A, Cheng L, Dietrich JE, Muscal J, Kukreja KU, Naik-Mathuria BJ. Surgical Approach to Pediatric Ovarian Growing Teratoma Syndrome: A Case Report.
J Pediatr Adolesc Gynecol 2021;
34:876-881. [PMID:
34333124 DOI:
10.1016/j.jpag.2021.07.011]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 06/14/2021] [Accepted: 07/22/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND
Growing teratoma syndrome is defined as conversion of a metastatic immature tumor to a mature tumor after adjuvant chemotherapy and remains an area of investigation because of its unclear pathogenesis. Because of its risk of malignant transformation, the primary treatment strategy for pediatric patients is surgical resection.
CASE
In this report we present a case of a pediatric patient with recurrent growing teratoma syndrome who was treated with chemotherapy, debulking procedures, and cryoablation for the growing nodules throughout her abdominal cavity. The patient has had a good clinical outcome without recurrent malignant tumor.
SUMMARY AND CONCLUSION
These masses do not always regress with chemotherapy and complete surgical excision or ablation should be attempted when possible.
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