title: Disseminated ovarian Growing Teratoma Syndrome: a case -report highlighting surgical safety issues.
abstract: The ovarian Growing Teratoma Syndrome (GTS) is a rare condition among patients with primary Non-Seminomatous Germ Cell Tumours (NSGCT) presenting with enlarging masses during or after appropriate chemotherapy in the context of normalized serum markers. Several modes of dissemination are suggested, with the most frequent site of metastasis being the peritoneum. We report a case of a young patient with primary ovarian mixed NSGCT, who presented with Growing Teratoma Syndrome not only in the peritoneum but also within a trocar site after an initial surgery consisting in the laparoscopic morcellation and extraction of the ovarian neoplasm. Beside the rarity of this clinical entity, it also demonstrates the utmost importance of the safe laparoscopic management of all complex ovarian masses.
authors.affiliation: CHU of Liège, Department of Obstetrics and Gynaecology, 4000 Liège, Belgium. ; Institut Claudius Regaud, Comprehensive Cancer Center, Department of Surgical Oncology, 31000 Toulouse, France.
authors.forename: M
authors.initials: M
authors.lastname: De Cuypere
authors.affiliation: Institut Claudius Regaud, Comprehensive Cancer Center, Department of Surgical Oncology, 31000 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Martinez
authors.affiliation: CHU of Liège, Department of Obstetrics and Gynaecology, 4000 Liège, Belgium.
authors.forename: F
authors.initials: F
authors.lastname: Kridelka
authors.affiliation: Institut Claudius Regaud, Comprehensive Cancer Center, Department of Radiology, 31000 Toulouse, France.
authors.forename: G
authors.initials: G
authors.lastname: Balague
authors.affiliation: Institut Claudius Regaud, Comprehensive Cancer Center, Department of Pathology, 31000 Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Maisongrosse
authors.affiliation: Institut Claudius Regaud, Comprehensive Cancer Center, Department of Surgical Oncology, 31000 Toulouse, France.
authors.forename: G
authors.initials: G
authors.lastname: Ferron
keywords: Growing Teratoma Syndrome; iatrogenic peritoneal dissemination; ovarian germ cell tumour; port site metastasis