Ovarian germ cell tumor

Case contributed by Luke Danaher

Presentation

Abdominal bloating

Patient Data

Age: 5
Gender: Female

AXR

x_ray

Soft tissue mass occupies the abdomen and RLQ.


Displacement of the bowel to the LUQ and liver superiorly.


No bony destruction seen.

US abdomen

ultrasound

Mixed cystic solid mass arising from the pelvis.


Displacement of solid abdominal organs.

CT abdomen with IV contrast

ct

Large well-defined rounded pelvic mass lesion with slightly lobulated contour.


Contains areas of soft tissue density and multiple rounded areas of low attenuation suggesting a mixed solid and cystic tumor.


Prominent vessels seen centrally within the mass with a prominent vein draining into the IVC and right internal iliac vein suggesting a right ovarian origin.


Displacement of abdominal organs.   Mild bilateral pelvicalyceal dilatation. No lymphadenopathy.

Case Discussion

Patient presented with abdominal bloating.


USS showed large cystic / solid pelvic mass.


B-hCG and AFP elevated.


CT abdomen shows large cystic solid mass, likely of right ovarian origin.


CT chest normal (no lymphadenopathy or metastatic disease)
 

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