"MAXIMAL FERTILITY SPARING SURGERY IN A PATIENT WITH A RARE MIXED GERM CELL TUMOR"

Abstract

Ovarian mixed germ cell tumors consisting of endodermal sinus tumor and immature teratoma are very rare and have been reported only in a few case reports. Here we report a rare mixed germ cell tumor of ovary which was consisted of endodermal sinus tumor and immature teratoma components with an unusual intraabdominal location. Patient was a 21 years old girl with the chief compliant of abdominal pain. Ultrasound and CT scan showed a lobulated cystic mass. Laparotomy was performed and due to unusual localization, in which tumor was localized as a tumoral bridge between two ovaries, we performed maximal fertility sparing surgery by preserving ovaries, tubes and uterus. After surgery, 4 courses of chemotherapy with bleomycin, etoposide, and cis-platinum were done. Alfa feto-protein became negative after 3 courses of chemotherapy and she was under observation and in good health during follow up period.