Tumor chemoconversion following surgery, chemotherapy, and normalization of serum tumor markers in a woman with a mixed type germ cell ovarian tumor.

Abstract:

BACKGROUND:Malignant germ cell tumors of the ovary are often curative after conservative surgery and adjuvant chemotherapy. Persistent tumors despite normalization of serum tumor markers may represent retroconversion to benign masses, but this is rare in ovarian tumors without teratoma elements. The management in such cases has not been defined. CASE:A young woman with a stage IIIC mixed germ cell ovarian tumor containing endodermal and dysgerminoma elements and elevated serum tumor markers underwent conservative surgery followed by chemotherapy. Residual tumor persisted on CT despite the normalization of serum tumor markers. The residual tissue was resected and contained benign tissue. CONCLUSIONS:In cases where masses persist and serum tumor markers normalize, attaining a histological diagnosis, and not chemotherapy, should be considered.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

David YB,Weiss A,Shechtman L,Shalev E

doi

10.1006/gyno.2001.6541

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

464-7

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090825801965412

journal_volume

84

pub_type

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