Soleymani Majd Hooman, Turner Sally Ann, Choji Kiyoshi, Lwin Khin, B-Lynch Christopher
Department of Obstetrics and Gynaecology, Milton Keynes General Hospital, Buckinghamshire, UK.
Arch Gynecol Obstet. 2009 May;279(5):725-7. doi: 10.1007/s00404-008-0796-z. Epub 2008 Sep 16.
A 36-year-old woman presented unwell, with abdominal pain. A pelvic mass was found and being investigated but when she deteriorated and became peritonitic. An emergency laparotomy was performed and she required a pelvic clearance for a Stage IIB ovarian tumour, later confirmed as a yolk sac tumour. Accurate staging and tumour-reductive surgery strongly affects the prognosis of yolk sac tumours. Thus ability to perform a meticulous surgical clearance may well positively impact on the outcome for these young patients. This case describes the challenges that generalists will be faced with when highly suspicious cancer patients present as an emergency.
