PEDIATRICS Vol. 61 No. 5 May 1978, pp. 791-793
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Dysgerminoma Presenting as a Calcified Abdominal Mass With Hypercalcemia

Robert P. Nelken M.D.1, Phillip I. Nieburg M.D.1, William H. Bergstrom M.D.1, and Robert A. Richman M.D.1

1 Department of Pediatrics, Upstate Medical Center, Syracuse, New York

Ovarian neoplasms account for less than 2% of all pediatric malignant tumors. About one third of these tumors are pure dysgerminomas, which rarely present with abdominal calcification or hypercalcemia. This communication reports the unusual occurrence of both a calcified dysgerminoma and hypercalcemia in a 101/2-year-old girl.

CASE REPORT

A 101/2-year-old white girl was hospitalized for evaluation of anorexia of six months' duration, an 11-kg weight loss, polyuria, and polydipsia. On admission, she appeared weak and cachectic. Blood pressure was 110/80 mm Hg; pulse rate, 120 beats per minute; respirations, 28/mm; temperatare, 38.2 C; height, 130 cm; and weight, 25 kg. A left-lower-quadrant abdominal mass extended across the midline.