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We herein report a pediatric case that underwent <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> after therapy for <jats:styled-content style=\"fixed-case\">YST<\/jats:styled-content>. The patient, a 13\u2010year\u2010old female with biliary atresia, had undergone portoenterostomy at 2\u00a0months of age. She developed a left ovarian tumor with a high serum alpha\u2010fetoprotein concentration at 10\u00a0years of age. She underwent left oophorectomy and was diagnosed with ovarian <jats:styled-content style=\"fixed-case\">YST<\/jats:styled-content> (Stage I). After surgery, hepatopulmonary syndrome progressed gradually. She was examined carefully and exhibited no findings to suggest the recurrence of <jats:styled-content style=\"fixed-case\">YST<\/jats:styled-content>. We decided to perform <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> at 3\u00a0years and 6\u00a0months of age after the surgery for <jats:styled-content style=\"fixed-case\">YST<\/jats:styled-content>. The patient is currently alive and doing well without recurrence of <jats:styled-content style=\"fixed-case\">YST<\/jats:styled-content> at approximately 2\u00a0years after transplantation. There is no significant difference between the recurrence rate of preexisting extrahepatic malignancy and the incidence of de novo malignancy if specific cases are selected. The indications and period from surgery for preexisting extrahepatic malignancy to <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> should thus be determined according to the type and stage of cancer.<\/jats:p>","DOI":"10.1111\/petr.12856","type":"journal-article","created":{"date-parts":[[2016,12,31]],"date-time":"2016-12-31T04:32:42Z","timestamp":1483158762000},"source":"Crossref","is-referenced-by-count":1,"title":["Living donor liver transplantation in a pediatric patient with preexisting yolk sac tumor"],"prefix":"10.1111","volume":"21","author":[{"given":"Taiichi","family":"Wakiya","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Hirosaki University Graduate School of Medicine  Aomori Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshikazu","family":"Toyoki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Hirosaki University Graduate School of Medicine  Aomori 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