Journal of Pediatric and Adolescent Gynecology ( IF 1.7 ) Pub Date : 2021-06-23 , DOI: 10.1016/j.jpag.2021.06.006 Giovanni Torino 1 , Agnese Roberti 1 , Francesco Turrà 1 , Vittoria Donofrio 2 , Delfina Bifano 2 , Massimo Abate 3 , Giovanni Di Iorio 1
Background
Yolk sac tumor (YST) is a malignant entity that often occurs in girls less than 3 years of age and is the most frequent type of primary extragonadal germ cell tumor.
Case
We describe the case of an 11-month-old girl who was referred to our center for vaginal bleeding with evidence of a uterine mass on ultrasonography. Preoperative investigations confirmed YST of the uterine cervix without metastasis.
After 4 cycles of systemic chemotherapy, the patient was treated with laparoscopic trachelectomy (fertility-sparing surgery) without perioperative complications.
Summary and Conclusion
After 12 months of follow-up, no residual mass was seen.
The laparoscopic technique for trachelectomy for uterine cervix YST seems to be feasible and safe in children under 1 year of age.
中文翻译:
11个月大女童宫颈卵黄囊瘤腹腔镜气管切除术:最年轻病例
背景
卵黄囊瘤 (YST) 是一种恶性肿瘤,常发生于 3 岁以下的女孩,是最常见的原发性性腺外生殖细胞肿瘤。
案件
我们描述了一个 11 个月大的女孩的案例,她因阴道出血被转诊到我们的中心,超声检查显示子宫肿块。术前检查证实子宫颈 YST 无转移。
经过4个周期的全身化疗后,患者接受了腹腔镜宫颈切除术(保留生育能力的手术),没有出现围手术期并发症。
总结与结论
随访 12 个月后,未见残留肿块。
子宫颈 YST 宫颈切除术的腹腔镜技术对于 1 岁以下儿童似乎是可行和安全的。