Germ cell tumours (GCTs)
of the ovary are rare, comprising approximately 20% of all ovarian tumors with
the malignant variant accounting for less than 5% of all ovarian neoplasms.
Malignant mixed germ cell tumours are rarer still with dysgerminoma & yolk
sac tumour being the most common components with three component variants being
categorised in the rarest of rare varieties. Bilateral dysgerminomas occur in
15% of germ cell neoplasms but rarely present with premature ovarian failure.
We present the case of an adolescent girl with a short history of abdominal
pain and distension with amenorrhoea for a year. Clinical and radio ogical
examination revealed a pelvic/adnexal mass with elevation of tumour markers and
she had to undergo a staging laparotomy with bilateral salpingo-oophorectomy.
Histopatholgy examination was reported as malignant mixed germ cell tumour of
left ovary, predominantly with immature teratoma and minor components of
yolk-sac tumour and dysgerminoma and right ovary with dysgerminoma. In view of
mixed germ cell disease, she was planned for adjuvant chemotherapy.
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