Case Report of an Endodermal Sinus Vaginal Tumor in an Infant Girl

摘要

An female infant patient, aged 8 months old, suffered from irregular colporrhagia for a period of 1 month after which she was taken to our hospital on 30th April, 2003. A pelvic CT examination displayed a 6.5 cm x3.0 cm shadow of a soft-tissue tumor growing longitudinally in her supravaginal uterine area (Fig.1). The density of the shadow was uneven, in which there were irregular low-density foci, an indication of a compression of the colon and bladder and a diffuse boundary between the posterior wall of the urinary bladder and tumor. No abnormalities were found in either kidney or ovary, the liver or gall bladder. Also no obvious lesions were seen on the chest X-ray film, and routine blood and urine laboratory examinations were normal. Her bleeding and clotting time were normal, with a blood level of 13,890 μg/L of serous α-fetoprotein (α-FP or AFP), and hCG of less than 10 IU/L. On the 10th of May, 2003, she received a vaginal smear examination under general anesthesia. The result of a cytopathology examination suggested a botryoid sarcoma cell.