Challenges in diagnostics and managementof a dysgerminoma in a young female

Vithiya Karunakaran; Katrine Fuglsang; Emil Magnus Mong Kolstad; Katja Dahl

doi:10.56182/frv94q79

Challenges in diagnostics and managementof a dysgerminoma in a young female

Vithiya Karunakaran^*, Katrine Fuglsang, Emil Magnus Mong Kolstad, Katja Dahl

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Kvindesygdomme og Fødsler

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

Introduction: A rare case of dysgerminoma led to a prolonged and complex diagnostic journey for a 17-year-oldwoman.Methods: The diagnostic process involved various imaging modalities, including ultrasound, FDG-PET/CT scan andMRI, and diagnostic laparoscopy. Methotrexate was administered based on a provisional diagnosis to manage the pa-tient’s condition.Results: Initial investigations suggested the presence of a pregnancy of unknown location, but there were inconclusiveultrasound findings. Subsequent imaging with FDG-PET/CT initially appeared to be normal, but was followed by MRI,which revealed a solid mass on the right ovary. The definitive diagnosis of dysgerminoma was made following a repeatlaparoscopy. The patient received oncologic treatment and recovered fully.Conclusion: The case emphasizes the challenges in diagnosing rare conditions which may mimic common clinical dis-eases, as well as the importance of a comprehensive diagnostic approach.

Originalsprog	Engelsk
Tidsskrift	Danish Journal of Obstetrics and Gynaecology
Vol/bind	3
Nummer	1
Sider (fra-til)	12-15
ISSN	2794-3372
DOI	https://doi.org/10.56182/frv94q79
Status	Udgivet - 24 sep. 2024

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10.56182/frv94q79Licens: CC BY

Citationsformater

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title = "Challenges in diagnostics and managementof a dysgerminoma in a young female",

abstract = "Introduction: A rare case of dysgerminoma led to a prolonged and complex diagnostic journey for a 17-year-oldwoman.Methods: The diagnostic process involved various imaging modalities, including ultrasound, FDG-PET/CT scan andMRI, and diagnostic laparoscopy. Methotrexate was administered based on a provisional diagnosis to manage the pa-tient{\textquoteright}s condition.Results: Initial investigations suggested the presence of a pregnancy of unknown location, but there were inconclusiveultrasound findings. Subsequent imaging with FDG-PET/CT initially appeared to be normal, but was followed by MRI,which revealed a solid mass on the right ovary. The definitive diagnosis of dysgerminoma was made following a repeatlaparoscopy. The patient received oncologic treatment and recovered fully.Conclusion: The case emphasizes the challenges in diagnosing rare conditions which may mimic common clinical dis-eases, as well as the importance of a comprehensive diagnostic approach. ",

author = "Vithiya Karunakaran and Katrine Fuglsang and Kolstad, {Emil Magnus Mong} and Katja Dahl",

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Challenges in diagnostics and managementof a dysgerminoma in a young female. / Karunakaran, Vithiya ; Fuglsang, Katrine; Kolstad, Emil Magnus Mong et al.
I: Danish Journal of Obstetrics and Gynaecology, Bind 3, Nr. 1, 24.09.2024, s. 12-15.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Challenges in diagnostics and managementof a dysgerminoma in a young female

AU - Karunakaran, Vithiya

AU - Fuglsang, Katrine

AU - Kolstad, Emil Magnus Mong

AU - Dahl, Katja

PY - 2024/9/24

Y1 - 2024/9/24

N2 - Introduction: A rare case of dysgerminoma led to a prolonged and complex diagnostic journey for a 17-year-oldwoman.Methods: The diagnostic process involved various imaging modalities, including ultrasound, FDG-PET/CT scan andMRI, and diagnostic laparoscopy. Methotrexate was administered based on a provisional diagnosis to manage the pa-tient’s condition.Results: Initial investigations suggested the presence of a pregnancy of unknown location, but there were inconclusiveultrasound findings. Subsequent imaging with FDG-PET/CT initially appeared to be normal, but was followed by MRI,which revealed a solid mass on the right ovary. The definitive diagnosis of dysgerminoma was made following a repeatlaparoscopy. The patient received oncologic treatment and recovered fully.Conclusion: The case emphasizes the challenges in diagnosing rare conditions which may mimic common clinical dis-eases, as well as the importance of a comprehensive diagnostic approach.

AB - Introduction: A rare case of dysgerminoma led to a prolonged and complex diagnostic journey for a 17-year-oldwoman.Methods: The diagnostic process involved various imaging modalities, including ultrasound, FDG-PET/CT scan andMRI, and diagnostic laparoscopy. Methotrexate was administered based on a provisional diagnosis to manage the pa-tient’s condition.Results: Initial investigations suggested the presence of a pregnancy of unknown location, but there were inconclusiveultrasound findings. Subsequent imaging with FDG-PET/CT initially appeared to be normal, but was followed by MRI,which revealed a solid mass on the right ovary. The definitive diagnosis of dysgerminoma was made following a repeatlaparoscopy. The patient received oncologic treatment and recovered fully.Conclusion: The case emphasizes the challenges in diagnosing rare conditions which may mimic common clinical dis-eases, as well as the importance of a comprehensive diagnostic approach.

U2 - 10.56182/frv94q79

DO - 10.56182/frv94q79

M3 - Journal article

SN - 2794-3372

VL - 3

SP - 12

EP - 15

JO - Danish Journal of Obstetrics and Gynaecology

JF - Danish Journal of Obstetrics and Gynaecology

IS - 1

ER -

Challenges in diagnostics and managementof a dysgerminoma in a young female

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