A Clinical Study of 7 Cases of Ovarian Dysgerminoma

Choi, Jin Ho; Park, Jung Yoon; Park, Il Soo

Abstract

OBJECTIVE
To evaluate a clinical outcome of 7 patients diagnosed as ovarian dysgerminoma at the Department of Obstetrics and Gynecology, Kyunpookpook National University Hospital between 1994 and 1998 for 5 years.
METHODS
After review of charts in seven patients, datas including clinical findings, treatment and outcome were analysed.
RESULTS
The mean age of the patients with the ovarian dysgerminoma was 22 years and the highest incidence was shown in 10-19 years group. Among 7 patients, 5 cases(71.4%) were nulligravida, 2 cases of multigravida. According to FIGO classification, there were 5 cases of stage I(71.4%), 1 case(14.3%) of stage II and 1 case( 14.3%) of stage III. The clinical symptoms were abdominal distension(4 cases; 57.1%), palpable mass(4 cases; 57.1%), abdominal discomfort or pain(2 cases; 28.6%), amenorrhea(2 cases; 28.6%) and dysuria(1 case; 14.3%). Metastasis to other organ was found in 2 cases including pelvic cavity and paraaortic lymph node. Radiation therapy was performed on 1 case and chemotherapy on 4 cases after surgery.
CONCLUSION
Dysgerminoma is the most common & radiosensitive malignant germ cell tumor of the ovary tumor. Dysgerminoma occurs usually between the ages of 10 and 30 years and has a relative better prognosis with postoperative chemotherapy than other malignant germ cell tumors.