Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting

ABSTRACT Ovarian yolk sac tumors (OYSTs), also known as endodermal sinus tumors, are rare and highly malignant germ cell tumors, accounting for approximately 1% of all ovarian cancers. They predominantly affect children and young adults, with a rapid growth rate and early metastasis, making early di...

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Main Authors: William Nkenguye, Alex Mremi, Peter Minja, Jay Lodhia
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70013
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author William Nkenguye
Alex Mremi
Peter Minja
Jay Lodhia
author_facet William Nkenguye
Alex Mremi
Peter Minja
Jay Lodhia
author_sort William Nkenguye
collection DOAJ
description ABSTRACT Ovarian yolk sac tumors (OYSTs), also known as endodermal sinus tumors, are rare and highly malignant germ cell tumors, accounting for approximately 1% of all ovarian cancers. They predominantly affect children and young adults, with a rapid growth rate and early metastasis, making early diagnosis and treatment crucial. This report presents the case of a 6‐year‐old female from a low‐resource setting who initially presented with symptoms suggestive of acute appendicitis, including abdominal pain, fever, and vomiting. This was supported by a CT scan; however, intraoperative findings revealed a large right ovarian mass, which was surgically excised via cystectomy and histologically confirmed as an OYST. The patient recovered well postoperatively and was referred for oncological management. This case underscores the importance of considering OYSTs in the differential diagnosis of pediatric abdominal masses and highlights the necessity of a multidisciplinary approach for optimal patient outcomes. Enhanced awareness and improved diagnostic strategies are essential for better management of this rare tumor, particularly in resource‐limited settings.
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spelling doaj-art-727c7ebfbd4d4221b83ec44ad7cf3db42024-12-26T06:30:43ZengWileyClinical Case Reports2050-09042024-12-011212n/an/a10.1002/ccr3.70013Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource SettingWilliam Nkenguye0Alex Mremi1Peter Minja2Jay Lodhia3Department of Epidemiology and Applied Biostatistics Kilimanjaro Christian Medical University College Moshi TanzaniaKilimanjaro Clinical Research Institute Kilimanjaro Christian Medical Centre Moshi TanzaniaDepartment of General Surgery Kilimanjaro Christian Medical Centre Moshi TanzaniaFaculty of Medicine Kilimanjaro Christian Medical University College Moshi TanzaniaABSTRACT Ovarian yolk sac tumors (OYSTs), also known as endodermal sinus tumors, are rare and highly malignant germ cell tumors, accounting for approximately 1% of all ovarian cancers. They predominantly affect children and young adults, with a rapid growth rate and early metastasis, making early diagnosis and treatment crucial. This report presents the case of a 6‐year‐old female from a low‐resource setting who initially presented with symptoms suggestive of acute appendicitis, including abdominal pain, fever, and vomiting. This was supported by a CT scan; however, intraoperative findings revealed a large right ovarian mass, which was surgically excised via cystectomy and histologically confirmed as an OYST. The patient recovered well postoperatively and was referred for oncological management. This case underscores the importance of considering OYSTs in the differential diagnosis of pediatric abdominal masses and highlights the necessity of a multidisciplinary approach for optimal patient outcomes. Enhanced awareness and improved diagnostic strategies are essential for better management of this rare tumor, particularly in resource‐limited settings.https://doi.org/10.1002/ccr3.70013alpha‐fetoproteinappendicitisgerm cell tumorovarian yolk sac tumorpediatric malignancy
spellingShingle William Nkenguye
Alex Mremi
Peter Minja
Jay Lodhia
Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
Clinical Case Reports
alpha‐fetoprotein
appendicitis
germ cell tumor
ovarian yolk sac tumor
pediatric malignancy
title Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
title_full Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
title_fullStr Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
title_full_unstemmed Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
title_short Pediatric Ovarian Yolk Sac Tumor Mimicking Appendicitis: A Case Report From a Low‐Resource Setting
title_sort pediatric ovarian yolk sac tumor mimicking appendicitis a case report from a low resource setting
topic alpha‐fetoprotein
appendicitis
germ cell tumor
ovarian yolk sac tumor
pediatric malignancy
url https://doi.org/10.1002/ccr3.70013
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