Successful treatment of an endodermal sinus tumor of the vagina by chemotherapy alone: a rare case of an infant diagnosed by pathological examination of discharged tumor fragment |
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Authors: | Shinkoda Yuichi Tanaka Satoru Ijichi Osamu Yoshikawa Hideki Nonaka Yukiko Tanabe Takayuki Nishikawa Takuro Ishikawa Syuji Okamoto Yasuhiro Kaji Tatsuru Tahara Hiroyuki Takamatsu Hideo Nagata Kohji Kawano Yoshifumi |
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Institution: | Department of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. shinkoda@nk-cc.go.jp |
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Abstract: | A 7-month-old infant was noted to have vaginal bleeding that was accompanied by a discharged tumor fragment. The histological diagnosis was endodermal sinus tumor. Her serum alpha-fetoprotein (AFP) was increased to 358.7 ng/mL, and magnetic resonance imaging showed a 1.8 x 1.0 cm tumor in the vagina. She received combination chemotherapy with cyclophosphamide, pirarubicin, carboplatin, and etoposide. The tumor in the images disappeared and the serum level of AFP returned to the normal range after 2 cycles. Treatment was complete without surgical or radiological therapy. More than 45 months after the completion of chemotherapy, she is alive without signs of recurrence. |
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