Primary yolk sac tumor of the omentum: a case report and review of the literature.

Abstract:

BACKGROUND:Extraovarian yolk sac tumors (YSTs) arising in the omentum represent an exceedingly rare malignancy. CASE:A 37-year-old Korean woman was admitted with a history of lower abdominal pain of 3 weeks duration. Pelvic computerized tomography (CT) scanning reported a bilateral ovarian malignancy with peritoneal seeding. Exploration findings revealed a greater omental mass and the result of frozen biopsy was adenocarcinoma or mesothelioma. She was treated with supracolic omentectomy, bilateral salpingo-oophorectomy, pelvic and paraaortic lymph node dissection, multiple peritoneal biopsies and appendectomy. Histological evaluation of the specimen after operation exhibited typical patterns of YST and stained for alpha-fetoprotein (AFP) and cytokeratin. Four courses of bleomycin, etoposide, and cisplatin (BEP) combination chemotherapy repeated every 3 weeks were added to therapy and she has remained free of disease for 1 year after completion of the therapy. CONCLUSION:To our knowledge this is the fourth case of primary omental YST. A review of the literature indicates that the diagnosis of YST requires proper evaluations of tumor makers and a skilled pathologist for analysis of frozen sections.

journal_name

Arch Gynecol Obstet

authors

Kim SW,Park JH,Lim MC,Park JY,Yoo CW,Park SY

doi

10.1007/s00404-008-0661-0

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

189-92

issue

2

eissn

0932-0067

issn

1432-0711

journal_volume

279

pub_type

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