The clinical case of diagnosis and treatment of the ovarian teratoblastoma in a child

Abstract

Aim: to demonstrate the possibilities of surgical treatment of the child with teratoblastoma at the early stage of detection.

Clinical case. The article presents an experience of treatment a child with ovarian teratoblastoma. The anamnesis of the disease was studied. The child has been examined by laboratory (general blood test, biochemical blood test, alpha-fetoprotein, ovarian tumor marker) and instrumental methods (ultrasound diagnostics of internal organs and organs of the lesser pelvis, computer tomography of the organs of lesser pelvis). The patient was consulted by a pediatric gynecologist, urologist and oncologist. Taking into account the results of the study, surgical treatment was prescribed: biopsy of the tumor-like formation and ovaries. Ovarian cystectomy, unilateral operation. A multidisciplinary team was involved in the treatment.

The child recovered. Additional treatment is not required. The observation of the pediatric oncologist is recommended.

Conclusion. The described clinical case demonstrates the experience of treatment a child with teratoblastoma, which is a rare pathology in childhood and that needs to be remembered. Proper preoperative examination forms the tactic of the treatment. Intraoperative staging is a mandatory component (peritoneal lavage, examination of the contralateral ovary, biopsy of suspicious lesions of the peritoneum and the omentum, revision of the regional lymph nodes). When performing all protocol surveys and confirming the local process only surgical intervention without adjuvant chemotherapy is enough.

The research was carried out in accordance with the principles of the Declaration of Helsinki. The informed consent of the child's parents was obtained for conducting the studies.

No conflict of interests was declared by the authors.