case_images: PMC4752372_01
case_images: Initial preoperative imaging showing pelvi abdominal mass
case_images: cureus-0008-000000000459-i01.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i01.jpg
case_images: FIG1
case_images: Imaging showed a large lobulated heterogeneous mass in the pelvis extending to the abdomen with numerous cystic areas (Figure 1).
case_images: Gross specimen after total abdominal hysterectomy and salpingo oophorectomy
case_images: cureus-0008-000000000459-i02.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i02.jpg
case_images: FIG2
case_images: 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).
case_images: Teratomatous elements in the tumour
case_images: cureus-0008-000000000459-i03.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i03.jpg
case_images: FIG3
case_images: 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).
case_images: Yolk sac elements
case_images: cureus-0008-000000000459-i04.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i04.jpg
case_images: FIG4
case_images: 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).
case_images: Karyotype showing 46, XY pattern
case_images: cureus-0008-000000000459-i05.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i05.jpg
case_images: FIG5
case_images: Karyotyping showed 46, XY genotype (Figure 5).
case_images: Residual lesion after four cycles of chemotherapy
case_images: cureus-0008-000000000459-i06.jpg
case_images: PMC4752372_01_cureus-0008-000000000459-i06.jpg
case_images: FIG6
case_images: At the end of four cycles, serum markers normalised, but she still had a large residual pelvic mass (Figure 6).