Ovarian germ cell tumour

Case contributed by Dr Luke Danaher

Presentation

Abdominal bloating

Patient Data

Age: 5
Gender: Female
X-ray

AXR

Soft tissue mass occupies the abdomen and RLQ.


Displacement of the bowel to the LUQ and liver superiorly.


No bony destruction seen.

Ultrasound

US abdomen

Mixed cystic solid mass arising from the pelvis.


Displacement of solid abdominal organs.

CT

CT abdomen with IV contrast

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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