Ovarian sarcoma a diagnostic dilemma– A case report

Primary sarcoma of the ovary is extremely rare. There are inadequate data in the literature regarding ovarian sarcoma in the pediatric age group. We report a case of an 8-year-old girl presenting with large abdominal mass and cachexia. Raised alpha-fetoprotein levels suggested germ cell tumor. Tru-c...

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Main Authors: Prashant K Zulpi, Akshay B Kalavant, Anil B Halgeri, P Priyanka
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:http://www.jiaps.com/article.asp?issn=0971-9261;year=2023;volume=28;issue=5;spage=436;epage=438;aulast=Zulpi
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author Prashant K Zulpi
Akshay B Kalavant
Anil B Halgeri
P Priyanka
author_facet Prashant K Zulpi
Akshay B Kalavant
Anil B Halgeri
P Priyanka
author_sort Prashant K Zulpi
collection DOAJ
description Primary sarcoma of the ovary is extremely rare. There are inadequate data in the literature regarding ovarian sarcoma in the pediatric age group. We report a case of an 8-year-old girl presenting with large abdominal mass and cachexia. Raised alpha-fetoprotein levels suggested germ cell tumor. Tru-cut biopsy histopathological report suggested a spindle cell tumor. The IHC staining suggested non rhabdomyosarcoma. As tumour was large and ovarian pediatric non rhabdomyosarcoma was not reported in the literature, we started on rhabdomyosarcoma neoadjuant regimen. Good response was noted for neoadjuvant chemotherapy, which was followed by complete surgical excision of the tumor and radiotherapy. At present, the overall outcome of the disease is dismal. Increased available data and gaining more evidence may help in improvising the treatment option.
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spelling doaj.art-9f05ae0a200946c0b351a7bcb28fb5a62023-10-30T10:03:35ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912023-01-0128543643810.4103/jiaps.jiaps_15_23Ovarian sarcoma a diagnostic dilemma– A case reportPrashant K ZulpiAkshay B KalavantAnil B HalgeriP PriyankaPrimary sarcoma of the ovary is extremely rare. There are inadequate data in the literature regarding ovarian sarcoma in the pediatric age group. We report a case of an 8-year-old girl presenting with large abdominal mass and cachexia. Raised alpha-fetoprotein levels suggested germ cell tumor. Tru-cut biopsy histopathological report suggested a spindle cell tumor. The IHC staining suggested non rhabdomyosarcoma. As tumour was large and ovarian pediatric non rhabdomyosarcoma was not reported in the literature, we started on rhabdomyosarcoma neoadjuant regimen. Good response was noted for neoadjuvant chemotherapy, which was followed by complete surgical excision of the tumor and radiotherapy. At present, the overall outcome of the disease is dismal. Increased available data and gaining more evidence may help in improvising the treatment option.http://www.jiaps.com/article.asp?issn=0971-9261;year=2023;volume=28;issue=5;spage=436;epage=438;aulast=Zulpinon-rhabdomyosarcoma of ovaryovarian sarcomapediatric ovarian sarcomapediatric ovarian tumorprimary ovarian sarcoma
spellingShingle Prashant K Zulpi
Akshay B Kalavant
Anil B Halgeri
P Priyanka
Ovarian sarcoma a diagnostic dilemma– A case report
Journal of Indian Association of Pediatric Surgeons
non-rhabdomyosarcoma of ovary
ovarian sarcoma
pediatric ovarian sarcoma
pediatric ovarian tumor
primary ovarian sarcoma
title Ovarian sarcoma a diagnostic dilemma– A case report
title_full Ovarian sarcoma a diagnostic dilemma– A case report
title_fullStr Ovarian sarcoma a diagnostic dilemma– A case report
title_full_unstemmed Ovarian sarcoma a diagnostic dilemma– A case report
title_short Ovarian sarcoma a diagnostic dilemma– A case report
title_sort ovarian sarcoma a diagnostic dilemma a case report
topic non-rhabdomyosarcoma of ovary
ovarian sarcoma
pediatric ovarian sarcoma
pediatric ovarian tumor
primary ovarian sarcoma
url http://www.jiaps.com/article.asp?issn=0971-9261;year=2023;volume=28;issue=5;spage=436;epage=438;aulast=Zulpi
work_keys_str_mv AT prashantkzulpi ovariansarcomaadiagnosticdilemmaacasereport
AT akshaybkalavant ovariansarcomaadiagnosticdilemmaacasereport
AT anilbhalgeri ovariansarcomaadiagnosticdilemmaacasereport
AT ppriyanka ovariansarcomaadiagnosticdilemmaacasereport