Successful treatment of preadolescents with small cell carcinoma of the ovary hypercalcemic type

J Pediatr Hematol Oncol. 2013 Oct;35(7):566-9. doi: 10.1097/MPH.0b013e318282cca8.

Abstract

Background: Small cell carcinoma of the ovary hypercalcemic type (SCCOHT) is a rare tumor with a peak incidence in young adulthood that historically has carried a poor prognosis.

Observations: We present 2 advanced stage cases of SCCOHT in preadolescents successfully treated with a combination of cisplatin-based chemotherapy and surgical resection. The more recent patient also underwent consolidative high-dose chemotherapy with stem cell rescue and external beam radiotherapy. Her therapy was concluded with a maintenance course of bevacizumab. The patients are now disease-free 7 years and 30 months, respectively, after diagnosis.

Conclusions: With aggressive multimodal therapy SCCOHT is curable in children.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Small Cell / complications*
  • Carcinoma, Small Cell / diagnosis
  • Carcinoma, Small Cell / therapy*
  • Child
  • Combined Modality Therapy
  • Female
  • Humans
  • Hypercalcemia / etiology*
  • Magnetic Resonance Imaging
  • Neoplasm Staging
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / therapy*
  • Tomography, X-Ray Computed
  • Treatment Outcome