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Author3 Posts
  #1

17 yr old girl presents w/ a sudden onset of abdominal pain. physical examination reveals a tender mass in the left adenexa. a pregnancy test is negative . an x-ray exhibits a mass a lesion of the left ovary with focal areas of calcification. which of the following best characterizes the ovarian mass?

a. benign surface derived tumor

b. malignant surface derived tumor

c. follicular cyst of the ovary

d. benign germ cell tumor

e. malignant germ cell tumor

  #2

I go with D

___________________
Smell the coffee! "Is That an Osler move??"

  #3

Germ cell neoplasms are thought to be derived from primitive germ cells of the embryonic gonad. They constitute the second largest group of ovarian neoplasms (~20%).These tumors can occur in women at any age, but peak incidence is seen during the early 20's. In children and adolescents, >60% of ovarian neoplasms are of germ cell origin, of which ~1/3 are malignant. In adults, the vast majority of germ cell tumors are benign (nearly all mature cystic teratomas). Dysgerminoma is the most common germ cell tumor, accounting for 50% of all germ cell tumor cases. About 20% of cases are diagnosed during pregnancy, and 80% occur in women under 30. Yolk sac tumors (also known as Endodermal sinus tumors) are the second most common germ cell tumor, accounting for 20% of all cases, and are common in girls and young adults (average age: 19). Less common germ cell tumors are embryonal carcinoma, immature teratoma, choriocarcinoma, polyembryomas, and mixed germ cell tumors







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