ADVANCES IN OBSTETRICS AND GYNECOLOGY

We recently treated a 6-year-old girl for torsion of an ovarian tumor. She had had a few episodes of lower abdominal pain, but the discomfort was mild and not prolonged, so it was not considered to be serious. However, after several episodes she was taken to a local physician, who palpated an abdominal mass and referred her to the pediatric department of this hospital. Further examinations revealed an ovarian cyst, so an operation was performed, and torsion of the left ovary was found. Because the ovary showed necrotic changes it was removed along with the left adnexae. The histopathological diagnosis was dermoid cystic adenoma.
In the Japanese literature there are 13 case reports of ovarian dermoid cyst in children. These are reviewed. [Adv Obstet Gynecol 46 (3); 283-286, 1994 (H6.5)]

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A 27-year-old woman (gravida 3) complained of slight vaginal bleeding after amenorrhea. A local physician found her urinary hCG level to be 1, 600, 000IU/l. He performed a D & C but found only endometrial membrane with decidual. change. Ultrasonogram showed an enlarged ovary, and she was referred to our clinic on February 19, 1986. The following examinations were performed : urinary hCG, pelvic ultrasonography, CT scanning and pelvic angiography. From the results examined choriocarcinoma of the ovary was highly suspected. On March 4, abdominal simple total hysterectomy and bilateral salpingo-oophorectomy were performed. The histopathological diagnosis was choriocarcinoma without any other types of tumor cells.
After five courses of postoperative chemotherapy using methotrexate and actinomycin-D, her serum hCG level came down within normal range, then she was discharged on July 30, 1986. Follow-up examinations for 8 years have shown no evidence of recurrence. [Adv Obstet Gynecol 46 (3); 287-292, 1994 (H6.5)]

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