Gliomatosis peritonei arising in setting of immature teratoma of ovary: a case report

Dhruba Prasad Paul; Kashish Garg; Ashis Kumar Rakshit

doi:10.18203/2320-1770.ijrcog20194390

Authors

Dhruba Prasad Paul Department of Obstetrics and Gynecology, Agartala Government Medical College and GBP Hospital, Agartala, Tripura, India
Kashish Garg Department of Obstetrics and Gynecology, Agartala Government Medical College and GBP Hospital, Agartala, Tripura, India
Ashis Kumar Rakshit Department of Obstetrics and Gynecology, Agartala Government Medical College and GBP Hospital, Agartala, Tripura, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194390

Keywords:

Abdominal mass, Chemotherapy, Gliomatosis, HPE, Immature teratoma, Laparotomy

Abstract

A 14 years old girl presented to the gynecology OPD with pain abdomen and huge abdominal lump since 2 months. On clinical examination, a large mass of 20x15 cm size was found extended upto the xiphoid process. Serum studies showed rise of CA-125 up to 406.9U/mL and LDH up to 310U/L. USG shows right ovarian cyst of 14.8x14.1x12.8 cm with internal calcification. MRI revealed a well encapsulated mass of 21x19x17cm with solid and cystic mass and upward peritoneal extension. Exploratory laparotomy was performed with right sided salpingo- ophorectomy with infracolic omentectomy, as the omentum appeared granular. She had an uneventful post-operative recovery. Subsequently HPE showed immature teratoma NORRIS grade 3 with co-existent peritoneal gliomatosis (grade 0). She is under regular follow-up and decided to give six cycles of combination chemotherapy with BEP at regional cancer hospital.

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