A Resection of a Giant Mediastinal Teratoma in a Mayer-Rokitansky-Küster-Hauser Syndrome Patient

Soltany, Amjad; Abbas, Arabi; Sbainy, Nour; Ibrahim, Ahed Haj; Abbas, Nizar

doi:10.1016/j.athoracsur.2021.10.063

Cited by 1 publication

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“…In this case, a mass measuring 5.4 x 7.3 cm was found in the mediastinum at the level of Thoracic Vertebrae 1-5 from a chest X-ray examination. This mediastinal mass is not a metastasis of the dysgerminoma tumor in the ovary because, based on the PA examination, the tumor cells did not penetrate the capsule, thus not proving a relationship between the mediastinal mass and the dysgerminoma tumor in the patient 9 In making the diagnosis of dysgerminoma can be done with several supporting examinations, including a radiological examination. In most cases of ovarian dysgerminoma, ultrasounds show a multilobular tumor with a smooth contour, well-defined borders, and heterogeneous echogenicity characterized by prominent fibrovascular septa.…”

Section: Discussionmentioning

confidence: 97%

Germ Cell Tumors Ovary “Dysgerminoma” with Mayer-Rokitansky-Kuster-Hauser Syndrome

Basoeki,

Nabiila,

Narulitia

et al. 2023

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Background: Ovarian Germ Cell Tumors originate from primitive germinal cells and can be either malignant or benign. MRKH syndrome is characterized by congenital hypoplasia of the uterus and upper vagina and can occur due to disrupted fusion of the Mullerian ducts. Diagnosis of ovarian tumors in MRKH patients is difficult but can be characterized by abdominal pain and distended.Objective: The aim of this case report is to explain the diagnostic methods and interventions performed in patients with ovarian tumors and MRKH syndrome.Case Presentation: A 25-year-old female came to the hospital with complaints of a lower abdominal lump three months ago. It was followed by severe pain, weight loss, shortness of breath, and yellowish vaginal discharge. Physical examination showed anemia, obesity, and a vagina size of 7cm with a probe. Chest X-ray showed a mass in the mediastinum and pleural effusion, and USG showed suspicion of an ovarian cyst and uterine agenesis.Conclusion: Ovarian tumor with MRKH syndrome is a rare case. Diagnosis was based on the patient’s history, clinical findings, radiologic examination, and confirmed with laparotomy and histopathology. Regular examinations are recommended to prevent and identify genital tract problems and pelvic diseases in women, especially adolescents.

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Section: Discussionmentioning

confidence: 97%