case_images: PMC3843913_01
case_images: CT findings of primary tumors.
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case_images: F1
case_images: Computed tomography (CT) scans revealed a 15-cm mass and a small amount of ascites, but no sign of lymph node enlargement (fig. 1).
case_images: Histological features of primary tumors. Histological examination revealed the tumor to be a mixed germ cell tumor which included a grade 3 immature teratoma, mature teratoma, embryonal carcinoma, and yolk sac tumor.
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case_images: PMC3843913_01_cro-0006-0544-g02.jpg
case_images: F2
case_images: Histological examination revealed the tumor to be a mixed germ cell tumor which included a grade 3 immature teratoma (75%), mature teratoma (10%), embryonal carcinoma (10%), and yolk sac tumor (5%) (fig. 2).
case_images: CT findings of three sites of tumor recurrence. The recurrent tumors are indicated by white arrows. a The appearance of a recurrent tumor of pelvic dissemination. b The appearance of a recurrent tumor of the para-aortic lymph node. c The appearance of a recurrent tumor of the lung.
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case_images: F3
case_images: Five years after the completion of chemotherapy, routine CT scans revealed dissemination in the pelvic region, para-aortic lymph node metastasis, and lung metastasis (fig. 3).
case_images: Histological features of recurrent tumors. Mature glandular tissue was seen in the recurrent, new mass, but no immature tissue was identified (HE, x100). a Pelvic dissemination. b Para-aortic lymph node metastasis. c Lung metastasis.
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case_images: F4
case_images: Pathologic analysis of the resected specimens revealed that all metastatic tumors were mature teratomas (fig. 4).