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Case Report
Grade 4 immature teratoma followed by portal vein embolization and hepatectomy with recurrence: A case report
1 Associate professor, Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Al Edara Street, Po. Box: 802000, Saudi Arabia
2 Teaching assistant, Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Al Edara Street, Po. Box: 802000, Saudi Arabia
3 Resident, Department of General Surgery, King Abdulaziz University, Jeddah, Al Edara Street, Po. Box: 802000, Saudi Arabia
Address correspondence to:
Abdullah Khaled Agabawi
Teaching assistant, Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Al Edara Street, Po. Box: 802000,
Saudi Arabia
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Article ID: 100026G06AM2022
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How to cite this article
Mousa AA, Agabawi AK, Rozzah RS, Abdulwasie HK. Grade 4 immature teratoma followed by portal vein embolization and hepatectomy with recurrence: A case report. Edorium J Gynecol Obstet 2022;7(1):6–10.ABSTRACT
Introduction: Immature teratomas or in another way malignant germ cell tumors are considered a very rare type of aggressive ovarian cancers. Of teratomas it represents 1%. In ovarian cancers it still presents 1% and as an overall it presents 35.6% of all malignant ovarian germ cell tumors. In most cases it has been found during the first two decades of life.
Case Report: The present case describes a case of a patient who was diagnosed with immature teratoma that was treated surgically and discovered sooner to have a liver metastasis that was treated with hepatic embolization and hepatectomy. Furthermore, she developed recurrence with lung metastasis that was intended to be treated with chemotherapy.
Conclusion: Prognosis of this type of cancer is reported to be good as long as it is discovered and treated early in the course. Patients usually present before metastasis. In terms of liver metastasis our patient had a hepatic embolization followed by a right hepatectomy which when compared to other reported cases almost all had a hepatectomy without embolization. Five months later our patient presented with lung metastasis which is uncommon specially after the patient had a right hepatectomy. Based on these findings our patient had a very short disease-free period which is not typical for this kind of disease. Platinum-based chemotherapy is considered the standard of care as an adjuvant therapy. This patient showed resistance to cisplatin where up to our knowledge there were no reported cases that had resistance to this regimen.
Keywords: Grade 4 immature teratoma, Embolization, Hepatectomy, Liver metastasis, Teratoma recurrence
SUPPORTING INFORMATION
Author Contributions
Ahmed A Mousa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdullah Khaled Agabawi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rayan S Rozzah - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hassan K Abdulwasie - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Ahmed A Mousa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
