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Obstet Gynecol Sci > Volume 55(8); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(8):590-595.
DOI: https://doi.org/10.5468/KJOG.2012.55.8.590    Published online August 17, 2012.
A case of pathologic fracture of the proximal femur resulting from metastatic bone tumor of ovarian immature teratoma.
Tae Hyun Kim, Seung Yeon Choi, Ji Hee Sung, Chel Hun Choi, Sung Wook Seo, Duk Soo Bae
1Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. th2580.kim@samsung.com
2Department of Orthopedics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract
Composing of less than 1% of all ovarian cancers, immature teratoma is a malignancy that mainly affects the young. In this report, we present the first case of pathologic fracture of the proximal femur resulting from metastatic bone tumor of ovarian immature teratoma. A 33-year-old Korean female was diagnosed as immature teratoma of stage Ia and grade 3. Eleven months following initial surgery, she had developed right thigh pain and palpable mass, which was confirmed metastasis of immature teratoma. She had her right leg broken during concurrent chemoradiation. She took mass excision, closed reduction with internal fixation and allo-bone graft followed by 6 cycles of chemotherapy and 10 times of radiotherapy. Now she is on regular follow-up and remained disease-free for 14 months.
Key Words: Bone neoplasm, Teratoma, Fractures, Spontaneous, Ovary


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