CRCM  Vol.2 No.7 , October 2013
Comprehensive laparoscopic surgical staging of ovarian dysgerminoma in a 10-year-old girl—A case report
Abstract: Minimal access surgery to stage early ovarian cancer (EOC) is still regarded as an investigation among many gynecologic oncologists. This is a case of comprehensive laparoscopic surgical stage of an ovarian dysgerminoma in a 10-year-old girl described. This patient was referred to the gynecology oncology unit status post left salpingo-oophorectomy through a midline incision when the histopathology showed pure dysgerminoma. We then performed the laparoscopic stage including peritoneal washing; resection of the left infundibulopelvic ligament; systematic pelvic, common iliac, and infrarenal bilateral paraaortic lymphadenectomy; and omentectomy. The uterus and right adnexum were spared to preserve future fertility. The final histopathology showed no metastatic disease (stage ovarian dysgerminoma), and patient has no evidence of recurrence after 52 months follow up. Conclusion: This is the youngest patient reported in the literature with a comprehensive laparoscopic surgical stage for ovarian neoplasm. A full laparoscopic staging for ovarian cancer in a 10-year-old girl is safe and might be considered as an alternative to the stander of care.
Cite this paper: Anfinan, N. (2013) Comprehensive laparoscopic surgical staging of ovarian dysgerminoma in a 10-year-old girl—A case report. Case Reports in Clinical Medicine, 2, 402-404. doi: 10.4236/crcm.2013.27107.

[1]   Spurbeck, W.W., Davidoff, A.M., Lobe, T.E., Rao, B.N., Schropp, K.P. and Shochat, S.J. ( 2004) Minimally invasive surgery in pediatric cancer patients. Annals of Surgical Oncology, 3, 340-343.

[2]   Sandoval, C., Strom, K. and Stringel, G. (2004) Laparoscopy in the management of pediatric intraabdominal tumors. JSLS, 2, 115-118.

[3]   Cribbs, R.K., Wulkan, M.L., Heiss, K.F. and Gow, K.W. (2007) Minimally invasive surgery and childhood cancer. Surgical Oncology, 3, 221-228.

[4]   Leclair, M.D., Sarnacki, S., Varlet, F. and Heloury, Y. (2007) Minimally-invasive surgery in cancer children. Bull Cancer, 12, 1087-1090.

[5]   Tozzi, R., Kohler, C., Ferrara, A. and Schneider A. (2004) Laparoscopic treatment of early ovarian cancer: Surgical and survival outcomes. Gynecologic Oncology, 1, 199-203.

[6]   Leblanc, E., Querleu, D., Narducci, F., Occelli, B., Papageorgiou, T. and Sonoda, Y. (2004) Laparoscopic restaging of early invasive adnexal tumors: A 10-year experience. Gynecologic Oncology, 3, 624-629.

[7]   Williams, S.D. (1998) Ovarian germ cell tumors. Seminars in Oncology, 25, 407-413.

[8]   Vicus, D., Beiner, M.E., Klachook, S., Le, L.W., Laframboise, S. and Mackay, H. (2010) Pure dysgerminoma of the ovary 35 years on: A single institutional experience. Gynecologic Oncology, 1, 23-26.

[9]   Kasenda, B., Harter, P., Hirsch, T., Ast, A., Buhrmann, C., Glaser, F. and Du Bois A. (2009) Para-aortic lymph node metastasis in malignant dysgerminoma of the ovary. Acta Obstetricia et Gynecologica Scandinavica, 11, 1288-1290.

[10]   Uccella, S., Cromi, A., Seveso, A., Siesto, G. and Ghezzi, F. (2008) Comprehensive laparoscopic surgical staging of ovarian dysgerminoma in a 13-year-old girl: A case report. Journal of Minimally Invasive Gynecology, 1, 110-112.

[11]   Smith, H.O., Berwick, M., Verschraegen, C.F., Wiggins, C., Lansing, L., Muller, C.Y. and Qualls, C.R. (2006) Incidence and survival rates for female malignant germ cell tumors. Obstetrics & Gynecology, 5, 1075-1085.

[12]   Tulandi, T. and Al-Shahrani, A. (2005) Adhesion prevention in gynecologic surgery. Current Opinion in Obstetrics and Gynecology, 4, 395-398.