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Tropical Journal of Obstetrics and Gynaecology

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A rare case of ovarian dysgerminoma in a 6‑year old child in Lagos: A case report

Kehinde Sharafadeen Okunade, Caleb Itopa Yakubu, Nwabueze Osuji, Omolola Salako

Abstract


Dysgerminoma is the most common malignant germ cell tumor in children and adolescents. Most cases occur in the 2nd and 3rd decades of life, but 10% of cases occur in the 1st decade of life. The rarity of this malignancy in prepubertal children and the recognized controversies in its management prompted this case report. The case of a 6‑year‑old girl who had laparotomy and unilateral adnexectomy with subsequent histological diagnosis of an ovarian dysgerminoma was presented. Prognosis depends on the stage of the tumor at presentation, and conservative surgery should be the aim during the initial treatment. Adoption of multidisciplinary management within an oncology board with joint decision on the need for adjuvant chemotherapy for early stage diseases will confer good prognosis.

Keywords: Germ cell tumor; malignant; management; multidisciplinary




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