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Gupta M, Jindal R, Saini V. An Incidental Finding of Bilateral Dysgerminoma During Cesarean Section: Dilemmas in Management. J Clin Diagn Res. 2016;10(8):QD04-5doi: 10.7860/JCDR/2016/20163.8319.
Gupta, M., Jindal, R., & Saini, V. (2016). An Incidental Finding of Bilateral Dysgerminoma During Cesarean Section: Dilemmas in Management. Journal of clinical and diagnostic research : JCDR, 10(8), QD04-5. https://doi.org/10.7860/JCDR/2016/20163.8319
Gupta, Mamta, et al. "An Incidental Finding of Bilateral Dysgerminoma During Cesarean Section: Dilemmas in Management." Journal of clinical and diagnostic research : JCDR vol. 10,8 (2016): QD04-5. doi: https://doi.org/10.7860/JCDR/2016/20163.8319
Gupta M, Jindal R, Saini V. An Incidental Finding of Bilateral Dysgerminoma During Cesarean Section: Dilemmas in Management. J Clin Diagn Res. 2016 Aug;10(8):QD04-5. doi: 10.7860/JCDR/2016/20163.8319. Epub 2016 Aug 01. PMID: 27656514; PMCID: PMC5028588.
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J Clin Diagn Res. 2016 Aug;10(8):QD04-5. doi: 10.7860/JCDR/2016/20163.8319. Epub 2016 Aug 01.

An Incidental Finding of Bilateral Dysgerminoma During Cesarean Section: Dilemmas in Management.

Journal of clinical and diagnostic research : JCDR

Mamta Gupta, Rita Jindal, Vandana Saini

Affiliations

  1. Senior Consultant and Head of Department, Department of Obstetrics and Gynaecology, Hindu Rao Hospital , Delhi, India .
  2. Specialist, Department of Obstetrics and Gynaecology, Hindu Rao Hospital , Delhi, India .
  3. Senior Specialist, Department of Obstetrics and Gynaecology, Hindu Rao Hospital , Delhi, India .

PMID: 27656514 PMCID: PMC5028588 DOI: 10.7860/JCDR/2016/20163.8319

Abstract

Dysgerminoma is an uncommon malignant tumour arising from germ cells of ovary. It occurs mostly in the reproductive age group. Its association with pregnancy is rare. Its management remains a challenge especially in an unsuspected case. We present a case of a woman, aged 28-year-old gravida2 para1 who reported to us at 36 weeks' pregnancy with severe preeclampsia and previous caesarean section. On ultrasound she was reported as having subserosal fibroids with single live fetus of 35 weeks and 3 days gestation. She delivered a live baby by caesarean section done for failed induction. Intraoperatively bilateral ovarian masses were found and removed which were later confirmed to be dysgerminoma on histopathological examination. As she was not diagnosed dysgerminoma pre-operatively, complete work up i.e., tumour markers and MRI was not done, leading to dilemmas in management. Though standard protocols for management of dysgerminoma with pregnancy exist, yet management of these incidentally diagnosed dysgerminomas remains a dilemma.

Keywords: Fertility sparing surgery; Germ cells of ovary; Incompletely staged dysgerminomas

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