AN OVARIAN YOLK SAC TUMOR WITH UNUSUALLY LOW ALPHA- FETOPROTEIN LEVELS – A CASE REPORT

Dr. Garima Kanotra*

ABSTRACT

Yolk sac tumor is a rare and a highly malignant ovarian tumor of adolescent and young girls.[1] Raised alpha fetoprotein is the hallmark of the tumor and a valuable prognostic marker. Here we present a case of a 16 year old adolescent girl who presented to the Gynae OPD at Dr RPGMC Tanda with a progressively increasing abdominal lump since 2 weeks associated with pain abdomen. Routine investigations were done along with tumor markers which were normal. USG and CT scan were further done to arrive at a differential diagnosis of ovarian tumor. The patient then underwent exploratory laparotomy proceed surgical staging procced right salpingoophorectomy. She was discharged on post operative day 5 as per institutional protocol .The histopathological diagnosis was yolk sac tumor stage 1A. She was then given 6 cycles of neoadjuvant chemotherapy and had an uneventful recovery. Unusually normal levels of alpha-fetoprotein in our case make the diagnosis difficult and a high degree of suspicion is needed

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