DOI QR코드

DOI QR Code

Primary Pelvic Peritoneal Yolk Sac Tumor in the Post-Pubertal Female: a Case Report with Literature Review

  • Kim, Myojeong (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Lee, Eun Ji (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Hwang, Jiyoung (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Hong, Seong Sook (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Chang, Yun-Woo (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Oh, Eunsun (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Nam, Bo Da (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Choi, Inho (Department of Pathology, Soonchunhyang University Seoul Hospital) ;
  • Kim, Jeong Sig (Department of Obstetrics and Gynecology, Soonchunhyang University Seoul Hospital)
  • Received : 2019.06.10
  • Accepted : 2019.09.06
  • Published : 2019.12.30

Abstract

Yolk sac tumors are rare malignant germ cell neoplasms that usually arise from the gonads. Extragonadal yolk sac tumors (EGYSTs) frequently occur in the mediastinum in post-pubertal females. EGYSTs in the pelvis are extremely rare, and to date, only thirteen cases have been reported in the English literature. Among them, the primary EGYST of the pelvic peritoneum in post-pubertal females has only been reported in ten cases. The present case describes a 26-year-old female diagnosed with primary peritoneal yolk sac tumor located in the rectouterine pouch. We report clinical and tumor imaging features, including ultrasound, computed tomography (CT), magnetic resonance images (MRI), positron emission tomography-computed tomography (PET-CT), and present a review of the literature.

Keywords

References

  1. Gilbert KL, Bergman S, Dodd LG, Volmar KE, Creager AJ. Cytomorphology of yolk sac tumor of the liver in fineneedle aspiration: a pediatric case. Diagn Cytopathol 2006;34:421-423 https://doi.org/10.1002/dc.20447
  2. Huntington RW Jr, Bullock WK. Yolk sac tumors of extragonadal origin. Cancer 1970;25:1368-1376 https://doi.org/10.1002/1097-0142(197006)25:6<1368::AID-CNCR2820250615>3.0.CO;2-P
  3. Thiele J, Castro S, Lee KD. Extragonadal endodermal sinus tumor (yolk sac tumor) of the pelvis. Cancer 1971;27:391-396 https://doi.org/10.1002/1097-0142(197102)27:2<391::AID-CNCR2820270223>3.0.CO;2-H
  4. Clement PB, Young RH, Scully RE. Extraovarian pelvic yolk sac tumors. Cancer 1988;62:620-626 https://doi.org/10.1002/1097-0142(19880801)62:3<620::AID-CNCR2820620330>3.0.CO;2-P
  5. Dede M, Pabuccu R, Yagci G, Yenen MC, Goktolga U, Gunhan O. Extragonadal yolk sac tumor in pelvic localization. A case report and literature review. Gynecol Oncol 2004;92:989-991 https://doi.org/10.1016/j.ygyno.2003.12.026
  6. Tseng MJ, Jung SM. Primary extra-gonadal yolk-sac tumour of pelvis with unusual presentation. Lancet Oncol 2007;8:179-180 https://doi.org/10.1016/S1470-2045(07)70038-4
  7. Pasternack T, Shaco-Levy R, Wiznitzer A, Piura B. Extraovarian pelvic yolk sac tumor: case report and review of published work. J Obstet Gynaecol Res 2008;34:739-744 https://doi.org/10.1111/j.1447-0756.2008.00725.x
  8. Baba T, Su S, Umeoka S, et al. Advanced extragonadal yolk sac tumor serially followed up with (18)F-fluorodexyglucose-positoron emission tomography and computerized tomography and serum alpha-fetoprotein. J Obstet Gynaecol Res 2012;38:605-609 https://doi.org/10.1111/j.1447-0756.2011.01752.x
  9. Rudaitis V, Mickys U, Katinaite J, Dulko J. Successful treatment of advanced stage yolk sac tumour of extragonadal origin: a case report and review of literature. Acta Med Litu 2016;23:110-116 https://doi.org/10.6001/actamedica.v23i2.3327
  10. Garnick MB, Canellos GP, Richie JP. Treatment and surgical staging of testicular and primary extragonadal germ cell cancer. JAMA 1983;250:1733-1741 https://doi.org/10.1001/jama.1983.03340130051032
  11. McKenney JK, Heerema-McKenney A, Rouse RV. Extragonadal germ cell tumors: a review with emphasis on pathologic features, clinical prognostic variables, and differential diagnostic considerations. Adv Anat Pathol 2007;14:69-92 https://doi.org/10.1097/PAP.0b013e31803240e6
  12. Shaaban AM, Rezvani M, Elsayes KM, et al. Ovarian malignant germ cell tumors: cellular classification and clinical and imaging features. Radiographics 2014;34:777-801 https://doi.org/10.1148/rg.343130067
  13. Ravishankar S, Malpica A, Ramalingam P, Euscher ED. Yolk sac tumor in extragonadal pelvic sites: still a diagnostic challenge. Am J Surg Pathol 2017;41:1-11 https://doi.org/10.1097/PAS.0000000000000722
  14. Wang M, Jiang S, Zhang Y, et al. The application of 18F-FDG PET/CT in ovarian immature teratomas when pathological examination results contradict clinical observations: a case report. Medicine (Baltimore) 2017;96:e9171 https://doi.org/10.1097/md.0000000000009171
  15. Takehara K, Konishi H, Kojima A, et al. SUV max of FDG-PET/CT as a prognostic factor in ovarian clear cell adenocarcinoma. J Clin Oncol 2014;32:e16509 https://doi.org/10.1200/jco.2014.32.15_suppl.e16509