Laparoscopic Trachelectomy for Cervix Yolk Sac Tumor in 11-Month-Old Girl: The Youngest Case

J Pediatr Adolesc Gynecol. 2021 Dec;34(6):872-875. doi: 10.1016/j.jpag.2021.06.006. Epub 2021 Jun 23.

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.

Keywords: Fertility-sparing surgery; Laparoscopic trachelectomy; Pediatric trachelectomy; Uterine cervix.

Publication types

  • Case Reports

MeSH terms

  • Endodermal Sinus Tumor* / diagnostic imaging
  • Endodermal Sinus Tumor* / drug therapy
  • Endodermal Sinus Tumor* / surgery
  • Female
  • Humans
  • Infant
  • Laparoscopy*
  • Trachelectomy*
  • Uterine Cervical Neoplasms* / surgery