Ovarian Tumor

Slide #3473

The patient is a 13-year-old girl who was referred from her primary care physician for an ovarian mass which was discovered on a routine physical exam with no associated symptoms or complaints of abdominal pain. Her serumHCGwas less than 2 (nl <5 in non-pregnant females) and her serum alphafetoprotein (AFP) was 1 (nl 0-8.5 ng/ml). CT scan of the abdomen and pelvis revealed a large right ovarian mass with fluid in it. The patient had a unilateral oophorectomy on 8/3/00 atCPMCwith a satisfactory post-op course and was discharged three days later.

Questions

  1. Can you identify normal ovarian tissue in this specimen?
  2. What histologic tissues are present?
  3. From the histologic features, is this a benign or a malignant tumor? What criteria should you use to make this decision?
  4. What types of tumors occur in the ovary?
  5. The best name for this tumor is ________