Abstract
Dysgerminoma of ovary is the most common germ cell tumor, accounting for 50% of all germ cell tumor cases. About 20% of cases are diagnosed during pregnancy, and 80% occur in women under 30. It is rare to find both ovaries to be involved in germ cell tumors. The prognosis of patients with malignant germ cell has improved significantly over the last two decades after the introduction of chemotherapy specially cisplatin. The only exceptions are stage 1, grade 1, immature teratoma and stage 1A dysgerminoima who are followed up after surgery without adjuvant chemotherapy. Normal ovarian functions and fertility can be retained in most patients by following the conservative surgery.
Highlights
The dysgerminoma represents the ovarian counterpart of the testicular seminoma
Ultrasonography (USG) and Computerized tomography scan is vital for diagnosis
We present a case of dysgerminoma which took a long time to come to final diagnosis
Summary
The dysgerminoma represents the ovarian counterpart of the testicular seminoma. These two tumors are histologically identical and the term germinoma has been proposed for both. It usually occurs in normally developed females but is the most frequent ovarian malignant tumor found in dysgenetic females, testicular feminization, and hermaphrodites and ambiguous sex. Dysgerminomas tend to be large, solid and bosselated with a smooth surface. The cut surface is soft, fleshy and bulging with a homogeneous pink-tan color. Ultrasonography (USG) and Computerized tomography scan is vital for diagnosis. We present a case of dysgerminoma which took a long time to come to final diagnosis
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