Ovarian dysgerminoma: a case report and literature review

A 27-year-old nulligravida active duty U.S. Navy chief petty officer presented with right flank pain and recurrent urinary tract infections without any history of nocturnal sweating or unexplained weight loss. Her physical examination was remarkable for mild right costovertebral angle tenderness and...

Full description

Saved in:
Bibliographic Details
Published in:Military medicine 2013-08, Vol.178 (8), p.e954-e955
Main Authors: Ajao, Michael, Vachon, Tyler, Snyder, Pete
Format: Article
Language:English
Subjects:
Adult
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Aorta
Biopsy
Bleomycin - administration & dosage
Cancer
Case reports
Chemotherapy
Chemotherapy, Adjuvant
Cisplatin - administration & dosage
Dehydrogenases
Dysgerminoma - diagnosis
Dysgerminoma - secondary
Dysgerminoma - therapy
Etoposide - administration & dosage
Female
Gynecology
Hematuria
Humans
L-Lactate Dehydrogenase - blood
Lymph Node Excision
Lymphatic Metastasis
Lymphatic system
Magnetic Resonance Imaging
Medical prognosis
Military medicine
Oncology
Oophorectomy
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - therapy
Ovariectomy
Ovaries
Pain
Patients
Phosphatase
Primary care
Salpingectomy
Tomography
Tomography, X-Ray Computed
Tumors
Ultrasonic imaging
Urinalysis
Urinary tract diseases
Urinary tract infections
Urogenital system
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 27-year-old nulligravida active duty U.S. Navy chief petty officer presented with right flank pain and recurrent urinary tract infections without any history of nocturnal sweating or unexplained weight loss. Her physical examination was remarkable for mild right costovertebral angle tenderness and urinalysis showed hematuria. Subsequent computed tomography urolithiasis protocol revealed a 5 × 13 × 7 cm right pelvic mass. Further evaluation of the mass with magnetic resonance imaging revealed a solid, enhancing right ovarian mass and para-aortic lymphadenopathy; additional samples were drawn demonstrating elevated serum lactate dehydrogenase, suggestive of malignancy. Dysgerminoma was suspected and subsequent salpingo-oophorectomy and lymph node biopsies confirmed the diagnosis. The prevalence, common presentation, diagnosis, clinical course, and prognosis--with specific attention to cooperative management of this patient in many aspects of military medicine: primary care, gynecology, oncology, and radiology--were explored.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED-D-13-00091