Korean J Obstet Gynecol.  2012 Oct;55(10):772-776.

A case of ovarian dysgerminoma with gonadal dysgenesis in 29-year-old woman with 46,XX karyotype

• Yoon SY
• Park HG
• Kuk JY
• Oak SA
• Park JH

Abstract

Gonadal dysgenesis occurs in rare case of ovarian tumor. Most tumors associated with gonadal dysgenesis were gonadoblastomas and dysgerminomas. In addition, premature ovarian insufficiency associated with these ovarian tumors in normal chromosomal type had not reported in many cases. A 29-year-old nulligravida woman who was concurrented with ovarian dysgerminoma and fibroma is presented. Measurements were made on serum lactate dehydrogenase, CA-125, CA 19-9 and pelvis ultrasonography and computed tomography. The clinical stage was IA and right salpingo-oophorectomy and wedge resection of the left ovary were done. On laboratory finding after operation on her serum follicular stimulating hormone was increased and E2 was decreased. The result of chromosomal analysis was 46,XX, normal. We represent here with brief review of literature one case of gonadal dysgenesis in nulligravida woman, associated with dysgerminoma, with normal karyotype.

Keyword

Dysgerminoma; Gonadal dysgenesis; Normal karyotype

MeSH Terms

Adult
Dysgerminoma
Female
Fibroma
Gonadal Dysgenesis
Gonadoblastoma
Gonads
Humans
Karyotype
L-Lactate Dehydrogenase
Ovary
Pelvis
L-Lactate Dehydrogenase

Figure

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  Fig. 1 Right ovarian tumor finding: transvaginal ultrasound.

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  Fig. 2 Abdomen-pelvis computed tomography.

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  Fig. 3 Right ovarian tumor: operating finding.

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  Fig. 4 Left ovarian nodules: operating finding.

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  Fig. 5 Right ovarian dysgerminoma pathologic finding (H&E, ×400).

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