Giovanni Torino1, Agnese Roberti2, Francesco Turrà1, Vittoria Donofrio3, Delfina Bifano3, Massimo Abate4, Giovanni Di Iorio1. 1. Pediatric Urology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy. 2. Pediatric Urology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy. Electronic address: agneseroberti@hotmail.com. 3. Pediatric Pathology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy. 4. Pediatric Oncology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Abstract
BACKGROUND: Yolk sac tumor (YST) is a malignant entity that often occurs in girls less than 3 years of age and is the most frequent type of primary extragonadal germ cell tumor. CASE: We describe the case of an 11-month-old girl who was referred to our center for vaginal bleeding with evidence of a uterine mass on ultrasonography. Preoperative investigations confirmed YST of the uterine cervix without metastasis. After 4 cycles of systemic chemotherapy, the patient was treated with laparoscopic trachelectomy (fertility-sparing surgery) without perioperative complications. SUMMARY AND CONCLUSION: After 12 months of follow-up, no residual mass was seen. The laparoscopic technique for trachelectomy for uterine cervix YST seems to be feasible and safe in children under 1 year of age.
BACKGROUND: Yolk sac tumor (YST) is a malignant entity that often occurs in girls less than 3 years of age and is the most frequent type of primary extragonadal germ cell tumor. CASE: We describe the case of an 11-month-old girl who was referred to our center for vaginal bleeding with evidence of a uterine mass on ultrasonography. Preoperative investigations confirmed YST of the uterine cervix without metastasis. After 4 cycles of systemic chemotherapy, the patient was treated with laparoscopic trachelectomy (fertility-sparing surgery) without perioperative complications. SUMMARY AND CONCLUSION: After 12 months of follow-up, no residual mass was seen. The laparoscopic technique for trachelectomy for uterine cervix YST seems to be feasible and safe in children under 1 year of age.