IMR Press / EJGO / Volume 36 / Issue 3 / DOI: 10.12892/ejgo2658.2015

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Reoprt
Endoscopic surgery combining chemotherapy for vaginal yolk-sac tumor: a case report
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1 Departments of Gynecology, Zhejiang Provincial People's Hospital, Hangzhou (China)
Eur. J. Gynaecol. Oncol. 2015, 36(3), 335–338; https://doi.org/10.12892/ejgo2658.2015
Published: 10 June 2015
Abstract

Purpose of investigation: To report and explore the effectiveness of the endoscopic surgery combining cisplatin, etoposide, and bleomycin (PEB) chemotherapy in treating vaginal yolk-sac tumor. Case Report: The clinical case of vaginal yolk-sac tumor in a young girl was analyzed. Hysteroscopy equipment was used to inspect and remove the majority of the tumor tissue, followed by six cycles of PEB chemotherapy. Hysteroscopy equipment was used again to exam the vagina and remove of the tumor pedicle for biopsy, which revealed no tumor cells after two cycles of chemotherapy. The patient remained disease free on follow up for a year. Conclusion: The use hysteroscopy equipment to exam vagina can diagnose early vaginal yolk-sac tumor and cytoreductive surgery which can preserve fertility can then be performed. Cytoreductive surgery may also be able to reduce the cycles of the chemotherapy to reduce the side effects and the risks of chemotherapy.
Keywords
Vaginal tumors
Yolk-sac tumor
Hysteroscopy
Chemotherapy
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