Two Concurrent Cancers in a 19-Year-Old Patient: Yolk Sac Ovarian Tumor and Metastatic Gastrointestinal Tract Malignancy—Case Report - 08/07/21

Doi : 10.1016/j.jpag.2021.02.104

Marta Baczewska, MD ^1,^⁎ , Pawel Knapp ², Jakub Dobroch, MD ¹, Piotr Bernaczyk, PhD ³, Paweł Guzik, PhD ⁴, Piotr Sitnik, MD ⁵, Wiktor Bortnik, MD ⁶
¹ Department of Gynecology and Gynecologic Oncology, Medical University of Bialystok, Poland
² Department of Gynecology and Gynecologic Oncology, University Oncology Center, Medical University of Bialystok, Poland
³ Department of Medical Pathomorphology, Medical University of Bialystok, Poland
⁴ Clinical Department of Gynecology and Obstetrics, City Hospital, Rycerska 4 Str. 35-241 Rzeszów, Poland
⁵ Department of Gynecology and Gynecologic Oncology, University Oncology Center, Department of Gynecological Endocrinology and Adolescent Gynecology, Medical University of Bialystok, Poland
⁶ Department of Gynecological Endocrinology and Adolescent Gynecology, Department of Gynecology and Gynecologic Oncology, University Oncology Center, Medical University of Bialystok, Poland

^⁎Address correspondence to: Marta Baczewska, MD, Department of Gynecology and University Oncology Center Medical University of Bialystok, University of Bialystok, 24a M. Sklodowskiej-Curie Str., 15-276 Bialystok, Poland. Phone: 0048 85 8317756.Department of Gynecology and University Oncology Center Medical University of BialystokUniversity of Bialystok24a M. Sklodowskiej-Curie Str.Bialystok15-276Poland

ABSTRACT

Background

Two concurrent malignancies present in a young person is an extremely rare condition. Diagnoses of gastric cancer primarily concern older patients. There are very few reports of concomitant Krukenberg tumor and germ-cell ovarian malignancy.

Case

A 19-year-old girl was admitted to the gynecologic oncology department with symptoms of advanced malignancy. Radiological imaging revealed disseminated neoplastic disease with bulky adnexal tumors. Cytoreductive surgery was performed, achieving no visible disease (T = 0 cm). The final pathology report confirmed metastatic mixed adenoneuroendocrine carcinoma (MANEC) in both ovaries, originating from the gastrointestinal tract. Moreover, the primary germ cell yolk sac tumor was found in the left ovary.

Conclusion

In cases of concomitant gastric and ovarian tumors, metastatic disease (Krukenberg tumor) should be considered in the differential diagnosis. This concerns even adolescent patients. In particular cases, including tumors with germ cell components, primary debulking surgery is crucial for prognosis.

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Key Words : Ovarian cancer, MANEC, Yolk sac tumor, Cytoreductive surgery, Case report

Esquema

Introduction

Case

Summary and Conclusion

The authors declare that they have no competing interests.

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Vol 34 - N° 4

P. 561-565 - août 2021 Regresar al número

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Two Concurrent Cancers in a 19-Year-Old Patient: Yolk Sac Ovarian Tumor and Metastatic Gastrointestinal Tract Malignancy—Case Report - 08/07/21

ABSTRACT

Background

Case

Conclusion

Esquema

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