Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case

Malignant ovarian germ cell tumors are rare in the pediatric population, particularly in children under ten years of age. We report a unique case of a mixed germ cell tumor, comprising dysgerminoma, mature and immature teratomas, and yolk sac tumor, located on an ectopic ovary, which was discovered...

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Main Authors: Chaimae ABOURAK, Siham Oukassem, Wadie Zouita, Imade Bougrine, Jaouad Bouljrouf, Lina Belkouchi, Nazik Allali, Mounir Kisra, Latifa Chat, Siham El Haddad
Format: Article
Language:English
Published: Elsevier 2025-11-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325007150
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author Chaimae ABOURAK
Siham Oukassem
Wadie Zouita
Imade Bougrine
Jaouad Bouljrouf
Lina Belkouchi
Nazik Allali
Mounir Kisra
Latifa Chat
Siham El Haddad
author_facet Chaimae ABOURAK
Siham Oukassem
Wadie Zouita
Imade Bougrine
Jaouad Bouljrouf
Lina Belkouchi
Nazik Allali
Mounir Kisra
Latifa Chat
Siham El Haddad
author_sort Chaimae ABOURAK
collection DOAJ
description Malignant ovarian germ cell tumors are rare in the pediatric population, particularly in children under ten years of age. We report a unique case of a mixed germ cell tumor, comprising dysgerminoma, mature and immature teratomas, and yolk sac tumor, located on an ectopic ovary, which was discovered following adnexal torsion in a 9-year-old girl with a family history of gynecological cancers. Mixed germ cell tumors present significant diagnostic challenges due to their heterogeneous histological composition and complex biological behavior. The patient's family history of gynecological cancers raises the possibility of an underlying genetic predisposition. This case underscores the importance of a comprehensive approach to pediatric pelvic masses, particularly in patients with a significant family history of cancer. Long-term follow-up is crucial for the early detection of recurrence in complex germ cell tumors.
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institution Kabale University
issn 1930-0433
language English
publishDate 2025-11-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-463dfeb896f94b49a0cbff7ef7532b212025-08-20T05:06:17ZengElsevierRadiology Case Reports1930-04332025-11-0120115594559910.1016/j.radcr.2025.07.047Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex caseChaimae ABOURAK0Siham Oukassem1Wadie Zouita2Imade Bougrine3Jaouad Bouljrouf4Lina Belkouchi5Nazik Allali6Mounir Kisra7Latifa Chat8Siham El Haddad9Department of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco; Corresponding author.Department of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Surgery, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Surgery, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoDepartment of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, MoroccoMalignant ovarian germ cell tumors are rare in the pediatric population, particularly in children under ten years of age. We report a unique case of a mixed germ cell tumor, comprising dysgerminoma, mature and immature teratomas, and yolk sac tumor, located on an ectopic ovary, which was discovered following adnexal torsion in a 9-year-old girl with a family history of gynecological cancers. Mixed germ cell tumors present significant diagnostic challenges due to their heterogeneous histological composition and complex biological behavior. The patient's family history of gynecological cancers raises the possibility of an underlying genetic predisposition. This case underscores the importance of a comprehensive approach to pediatric pelvic masses, particularly in patients with a significant family history of cancer. Long-term follow-up is crucial for the early detection of recurrence in complex germ cell tumors.http://www.sciencedirect.com/science/article/pii/S1930043325007150Mixed germ cell tumorEctopic ovaryAdnexal torsionFamily history of cancers
spellingShingle Chaimae ABOURAK
Siham Oukassem
Wadie Zouita
Imade Bougrine
Jaouad Bouljrouf
Lina Belkouchi
Nazik Allali
Mounir Kisra
Latifa Chat
Siham El Haddad
Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
Radiology Case Reports
Mixed germ cell tumor
Ectopic ovary
Adnexal torsion
Family history of cancers
title Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
title_full Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
title_fullStr Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
title_full_unstemmed Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
title_short Mixed germ cell tumor on an ectopic ovary with in a 9-year-old girl: A rare and complex case
title_sort mixed germ cell tumor on an ectopic ovary with in a 9 year old girl a rare and complex case
topic Mixed germ cell tumor
Ectopic ovary
Adnexal torsion
Family history of cancers
url http://www.sciencedirect.com/science/article/pii/S1930043325007150
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