PMC4752372_01
Initial preoperative imaging showing pelvi abdominal mass
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FIG1
Imaging showed a large lobulated heterogeneous mass in the pelvis extending to the abdomen with numerous cystic areas (Figure 1).
Gross specimen after total abdominal hysterectomy and salpingo oophorectomy
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FIG2
The final pathology report revealed a mixed germ cell tumor consisting of teratoma, dysgerminoma, and focal yolk sac components with a rudimentary uterus, tubes, and streak gonad on the left (Figures 2-4).
Teratomatous elements in the tumour
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FIG3
The final pathology report revealed a mixed germ cell tumor consisting of teratoma, dysgerminoma, and focal yolk sac components with a rudimentary uterus, tubes, and streak gonad on the left (Figures 2-4).
Yolk sac elements
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FIG4
The final pathology report revealed a mixed germ cell tumor consisting of teratoma, dysgerminoma, and focal yolk sac components with a rudimentary uterus, tubes, and streak gonad on the left (Figures 2-4).
Karyotype showing 46, XY pattern
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FIG5
Karyotyping showed 46, XY genotype (Figure 5).
Residual lesion after four cycles of chemotherapy
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FIG6
At the end of four cycles, serum markers normalised, but she still had a large residual pelvic mass (Figure 6).