Bilateral Somatically Derived Germ Cell Tumors With 12p Gains Arising in High-grade Serous Carcinomas of the Ovary: A Case Report and Review of the Literature.

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY International Journal of Gynecological Pathology Pub Date : 2024-10-30 DOI:10.1097/PGP.0000000000001074
Amr H Masaadeh, Bilge Dundar, Megan I Samuelson, Evangeline Kadera, Amani Bashir
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Abstract

Epithelial ovarian neoplasms are commonly observed in older patients, while germ cell tumors (GCTs) typically present in young individuals. When GCTs are detected in patients over 35 yrs old, they often have an associated epithelial component, a phenomenon known as somatically derived GCTs. We report a unique case of mixed GCT involving bilateral ovaries with a background of high-grade serous carcinoma, including a yolk sac tumor and choriocarcinoma in the mixed GCT component. Somatically derived GCTs are rare with only 45 cases of ovarian carcinoma with somatic yolk sac tumor reported to date. Pathologists face diagnostic challenges in identifying somatically derived GCTs, as they can mimic high-grade epithelial neoplasms. Somatically derived GCTs have poor outcomes, therefore, precise diagnosis is crucial for prognostic and therapeutic considerations.

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卵巢高级别浆液性癌中出现 12p 增益的双侧体细胞衍生生殖细胞瘤:病例报告和文献综述。
上皮性卵巢肿瘤常见于年龄较大的患者,而生殖细胞瘤(GCT)通常出现在年轻人身上。当在 35 岁以上的患者中发现生殖细胞瘤时,它们往往伴有上皮成分,这种现象被称为体细胞衍生型生殖细胞瘤。我们报告了一例涉及双侧卵巢的混合型 GCT,其背景是高级别浆液性癌,包括混合型 GCT 成分中的卵黄囊肿瘤和绒毛膜癌。体细胞衍生的 GCT 非常罕见,迄今为止仅有 45 例卵巢癌伴有体细胞卵黄囊肿瘤的报道。病理学家在鉴别体细胞衍生型 GCT 时面临着诊断难题,因为它们可能与高级别上皮肿瘤相似。体细胞衍生型 GCT 的预后较差,因此,精确诊断对预后和治疗至关重要。
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来源期刊
CiteScore
3.90
自引率
12.50%
发文量
154
审稿时长
6-12 weeks
期刊介绍: International Journal of Gynecological Pathology is the official journal of the International Society of Gynecological Pathologists (ISGyP), and provides complete and timely coverage of advances in the understanding and management of gynecological disease. Emphasis is placed on investigations in the field of anatomic pathology. Articles devoted to experimental or animal pathology clearly relevant to an understanding of human disease are published, as are pathological and clinicopathological studies and individual case reports that offer new insights.
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