Page 109 - FINAL COMPENDIUM 2020-2021 27.2.2022

MALIGNANT GERM CELL TUMOUR IN CHILDREN - A CASE REPORT

Devi S, Agos A

Introduction: Malignant mixed germ cell tumour is a type of cancer that at made up of at
least two types of malignant germ cell components. They are mostly found in the ovaries
or testicles and rarely in the oral cavity. Case report: A 7-year-old, Malay girl presented to
our clinic with a lesion of the oral cavity that had been growing for past 2 weeks after a
symptomatic extraction of the lower primary tooth. She had no known medical illnesses.
Examination revealed a 1.5cm, exophytic lesion which bled on manipulation, irregular in
manner, and appeared necrotic on the buccal mucosa of the extracted socket of 85. The
lesion was firm upon palpation, fixed to the underlying tissues and non-tender. There was
no trismus or palpable cervical nodes. Incisional biopsy led to the discovery of a malignant
mass. Conclusion: This case illustrates the importance for oral health professionals to
include malignant germ cell tumour in the differential diagnosis of a traumatic swelling in
the oral cavity as the detection of an asymptomatic cancer is a significant problem.

Dr Sharlene Devi
Dr Adelene Agos
Department of Paediatric Dentistry
Hospital Tuanku Ampuan Najihah
Kuala Pilah, Negeri Sembilan
Malaysia

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