Metachronous ovarian dysgerminomas

Case contributed by Alexandra Stanislavsky
Diagnosis certain

Presentation

Pelvic pain for investigation

Patient Data

Age: 20 years
Gender: Female
ultrasound

Predominantly solid large mass in left adnexa. Mild-moderate internal vascularity. Rim of ovarian tissue is noted at its' margin - confirming ovarian nature. Normal uterus and right ovary.

Routine annual FU study 5...

ultrasound

Routine annual FU study 5 yr later. Intervals scans since Lt oophorectomy have been normal.

New hypoechoic mass right ovary with minimal vascularity

FU scan a further 6 mth later

Rapid increase of the right ovarian mass, now with central cystic component and overall appearance very similar to the initial left tumor.

Case Discussion

Bilateral ovarian dysgerminomas in young adult female, developing several years apart. 

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