Recurrent High-grade Ovarian Immature Teratoma with Peritoneal Dissemination

Peritoneal dissemination of ovarian immature teratoma in children is a rare entity and is associated with a poor prognosis. There are no guidelines on the optimal management of these patients with regard to surgery and systemic treatments. This is the case of a 16-year-old patient who experienced an...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2020-10, Vol.33 (5), p.586-589
Main Authors: Brind’Amour, Alexandre, De Guerke, Lara, Fortin, Suzanne, Gervais, Mai-Kim, Dubé, Pierre, Sidéris, Lucas
Format: Article
Language:English
Subjects:
Adolescent
Carcinomatosis
Cytoreduction Surgical Procedures - methods
Female
Humans
Immature teratoma
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Ovarian cancer
Ovarian Neoplasms - diagnostic imaging
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Pediatric oncology
Recurrence
Salvage Therapy - methods
Teratoma - diagnostic imaging
Teratoma - pathology
Teratoma - surgery
Tomography, X-Ray Computed
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Summary:Peritoneal dissemination of ovarian immature teratoma in children is a rare entity and is associated with a poor prognosis. There are no guidelines on the optimal management of these patients with regard to surgery and systemic treatments. This is the case of a 16-year-old patient who experienced an early recurrence of immature teratoma with peritoneal dissemination after surgery and systemic chemotherapy failure, and was treated with an aggressive salvage cytoreductive surgery. She was still disease-free 6 months after her second surgery. Upfront aggressive surgical management with complete cytoreductive surgery is recommended when patients present with disease recurrence and peritoneal dissemination of ovarian immature teratoma. Such cases should be managed in centers with local expertise in the treatment of peritoneal surface malignancies.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2020.06.002