Clinical Oncology: Case Reports

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Case Report, Clin Oncol Case Rep Vol: 5 Issue: 1

Germ Cell Tumour of the Ovary Presenting with Chylothorax and Central Vein Thrombosis: A case report

Priyanka Katwal1, Shweta Rai1*, Sudipta Mukherjee2, Pralay Ghosh2, Joydeep Ghosh3, and Jaydip Bhaumik1

1Deptartment of Gynec Oncology, Tata Medical Centre, Kolkata, India

2Deptartment of Critical Care, Tata Medical Centre, Kolkata, India

3Deptartment of Medical Oncology, Tata Medical Centre, Kolkata, India

*Corresponding Author:

Shweta Rai
Deptartment of Gynec Oncology
Tata Medical Centre, Kolkata, India
E-mail: [email protected]

Received: August 30, 2021, Manuscript No: COCR-21-6219;
Editor assigned: September 02, 2021, PreQC No: P-6219;
Reviewed: October 03, 2021, QC No: Q-6219;
Revised: December 22, 2021, Manuscript No: R-6219;
Published: January 10, 2022, DOI: 10.4172/cocr.5(1).213

Citation: Katwal P, Rai S, Mukherjee S, Ghosh P, Ghosh J, et al. (2022) Germ Cell Tumour of the Ovary Presenting with Chylothorax and Central Vein Thrombosis: A Case Report. Clin Oncol Case Rep 5:1

Abstract

Chylothorax is an uncommon entity associated with various processes that damage or obstructs the thoracic duct (TD) and its tributaries causing chyle to leak into the pleural space. We reported the case of a 20 year old girl who presented with bilateral chylothorax secondary to central vein thrombosis in a case of germ cell tumour of the ovary. Her contrast enhanced computerised tomography for thorax and abdomen revealed abdomino-pelvic mass with ascitis, bilateral pleural effusion, mediastinal lymphadenopathy and thrombosis of left internal jugular, brachiocephalic veins, right subclavian vein and bilateral pulmonary artery lobar branches thrombosis. Germ cell tumour ovary was diagnosed in view of her characterstic tumour marker pattern. Patient was managed conservatively with low molecular weight heparin, pigtail inter-costal drain and diet modification. Chemotherapy was started as soon as she was hemodynamically stabe which helped in early resolution of precipitating factor. There was complete resolution of the thrombosis. She responded to chemotherapy and successfully went on to have fertility preserving surgery. There was no residual tumour in surgical specimen and she has been kept on follow up in post-operative period. At six months follow up she continues to be disease free.

Keywords: Chylothorax, Central vein; Upper extremity; Thrombosis; Germ cell

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