Excision of extensive metastatic dysgerminoma to control refractory hypercalcaemia in a child at high risk for tumour-lysis syndrome

Elective suprarenal and infrarenal cavectomy for excision of giant retroperitoneal teratoma in infancy

“…However, in several reported retroperitoneal germ cell tumors, as well as the present case, the venous network is instead effaced over the anterior tumor surface, "pinning" it in place [13]. In the presence of welldeveloped venous collaterals, effaced major veins could be overlooked and, therefore, injured during the vessel display as used for neuroblastoma.…”

“…First, it indicates that cavectomy to release the tumor may permit tumor clearance without incising it as per neuroblastoma; with large nonchemotherapy-treated lesions, avoidance of such incision may decrease blood loss independently of reducing vascular injuries. Second, it emphasizes the need to preserve venous collaterals particularly from the kidneys; where such collaterals are absent, it is likely that the cava is less tightly drawn over the tumor, caval obstruction is incomplete, and its resection is unnecessary; although temporary caval division may still be considered in this scenario, we delivered a similar tumor by careful caval mobilization alone [13].…”

Successful laparoscopy‐assisted en bloc resection of bulky omental malignant lymphoma involving the ascending colon and multiple lymph node metastases: Report of a technically demanding case in a pediatric patient

“…Our case had a high risk of TLS because of the bulky tumor size (>10 cm). Massive tumor extirpation may be a useful option for treating children in order to avoid the risk of chemotherapy‐induced TLS 8 . In our case, by extirpating the bulky tumor and metastasis lymph nodes, chemotherapy was able to be performed without delay, with no resultant TLS after surgery, and remission has been maintained.…”

Hipercalcemia en paciente pediátrica con disgerminoma ovárico: a propósito de un caso

“…En la paciente del caso clínico presentado, los valores de calcio comenzaron a descender lentamente luego de 72 horas de la infusión, hasta normalizarse luego de la cirugía de resección tumoral, parte fundamental de la estrategia efectiva del tratamiento. 11 Para finalizar, resaltamos la importancia del examen físico completo en la detección de masas abdominales y el diagnóstico temprano de hipercalcemia asociada, por su potencial gravedad en el debut y las complicaciones en el corto y el largo plazo. Es interesante destacar que algunos síntomas, como la astenia y el dolor óseo pueden no ser secundarios a la patología oncológica, sino a los trastornos hidroelectrolíticos asociados.…”