Primary Amenorhea due to Malignancy A case of Clear Cell Carcinoma in Younger age elia tombe, Sriwijaya, Nugraha U.P, Suzanna S
Departement of Obstetrics and Gynecology Hasanuddin University Faculty of Medicine, Makassar, Indonesia.
Abstract
Abstract
Background: Ovarian Dysfunction is one of the etiology of primary amenorrhea, but how about the ovarian dysfunction occur in younger age due to ovarian malignancy, in this case is ovarian clear cell carcinoma (OCCC) that usually occurs in older age.
Case Report: We report a 17 year old woman presenting with primary amenorrhea with abdominal enlargement, from physical examination, radiology and laboratory findings, abdominal distension, pelvic mass with a size of 15x11 cm with an irregular border, decreased estrogen, and a significant increase in LDH, Ca-125, AFP. so an exploratory laparotomy was performed, After performing an exploratory laparotomy we removed the tissue, and concluded it was a clear cell carcinoma
Conclusion: Early diagnose of OCCC is crucial in primary amenorrhea due to a better prognosis and treatment
Keywords : Primary Amenorhea,Clear cell carcinoma