Ovarian germ cell tumour

Case contributed by Dr Luke Danaher

Presentation

Abdominal bloating

Patient Data

Age: 5
Gender: Female

AXR

Modality: X-ray

Soft tissue mass occupies the abdomen and RLQ.


Displacement of the bowel to the LUQ and liver superiorly.


No bony destruction seen.

US abdomen

Modality: Ultrasound

Mixed cystic solid mass arising from the pelvis.


Displacement of solid abdominal organs.

CT abdomen with IV contrast

Modality: CT

Large well-defined rounded pelvic mass lesion with slightly lobulated contour.


Contains areas of soft tissue density and multiple rounded areas of low attenuation suggesting a mixed solid and cystic tumour.


Prominent vessels seen centrally within the mass with a prominent vein draining into the IVC and right internal iliac vein suggesting a right ovarian origin.


Displacement of abdominal organs.   Mild bilateral pelvicalyceal dilatation. No lymphadenopathy.

Case Discussion

Patient presented with abdominal bloating.


USS showed large cystic / solid pelvic mass.


B-hCG and AFP elevated.


CT abdomen shows large cystic solid mass, likely of right ovarian origin.


CT chest normal (no lymphadenopathy or metastatic disease)
 

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Case Information

rID: 27732
Case created: 16th Feb 2014
Last edited: 13th Mar 2016
System: Paediatrics
Inclusion in quiz mode: Included

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