A rare case of isosexual pseudoprecocious puberty in a patient with mixed germ cell malignancy of the ovary with endodermal sinus tumor and dysgerminoma.
- Author:
Enrico Gil C OBLEPIAS
;
Margaret Joyce A CRISTI-LIMSON
- Publication Type:Case report
- MeSH:
X
- From:
Philippine Journal of Obstetrics and Gynecology
2012;36(4):166-174
- CountryPhilippines
-
Abstract:
A 4-year old female was admitted to the hospital for evaluation of an abdominal mass. Early appearance of secondary isosexual characteristics such as breast enlargement, axillary and pubic hair, and vaginal bleeding were noted. Pertinent laboratory examination results included a very much elevated serum estradiol, low LH and FSH titers and a negative 24-hour urine hCG. With an identifiable focus in the pelvis that would consolidate the clinical presentation and laboratory findings, our pre-operative diagnosis was: Pseudoprecocious puberty secondary to a functioning ovarian newgrowth probably granulosa cell tumor. The final histopathologic diagnosis unexpectedly was mixed germ cell tumor predominantly yolk sac (endodermal sinus tumor) with areas of dysgerminoma. This is the first locally documented case of ovarian endodermal sinus tumor with the symptomatology of precocity.
