case_images: PMC9152346_01
case_images: A large lobulated solid heterogeneously enhancing mass (solid black arrows) arising from the right ovary of size 11.9 cm x 6.5 cm x 9.4 cm with punctuate internal calcification and ascites.
case_images: CRIE2022-5666957.001.jpg
case_images: PMC9152346_01_CRIE2022-5666957.001.jpg
case_images: fig1
case_images: Contrast enhanced computed tomography revealed a large lobulated solid mass of size 11.9 cm x 6.5 cm x 9.4 cm arising from the right ovary, morphologically normal looking left ovary, and presence of gross ascites (Figure 1). The right ovarian mass was characterized by heterogeneous post-contrast enhancement and punctuate internal calcification along with multiple intratumor tortuous vascular channels (Figure 1).
case_images: Resected specimen showing cut opened the right ovary with an attached fallopian tube. The right ovary measures around 15 cm x 10 cm with a bosselated outer surface. The ovary is entirely replaced by a solid mass which greyish-yellow with focal areas of myxoid changes and haemorrhage with an intact capsule. The fallopian tube appears normal.
case_images: CRIE2022-5666957.002.jpg
case_images: PMC9152346_01_CRIE2022-5666957.002.jpg
case_images: fig2
case_images: The patient underwent right salpingo-oophorectomy, pelvic lymph node dissection, and infracolic omentectomy along with left ovarian biopsy (Figure 2).
case_images: Histological findings showing nests of germ cells separated by fibrous septa infiltrated by lymphoid cells. Tumor cells are large, high N : C ratio with prominent nucleoli. (hematoxylin and eosin (H&E), 200x).
case_images: CRIE2022-5666957.003.jpg
case_images: PMC9152346_01_CRIE2022-5666957.003.jpg
case_images: fig3
case_images: Based on the above characteristic findings, a diagnosis of dysgerminoma associated with burned out gonadoblastoma was made (Figure 3).