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Ovarian Germ Cell and Sex Cord-Stromal Tumors

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What approximate percentage of all ovarian cancers are germ cell and sex cord-stromal tumors?

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a. 0.1 percent

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b. 1 percent

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c. 10 percent

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d. 30 percent

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Women with germ cell tumors are diagnosed most commonly during which International Federation of Gynecology and Obstetrics (FIGO) disease stage?

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a. I

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b. II

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c. III

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d. IV

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Which of the following invasive cancers is most commonly diagnosed in women during their 20s (third decade)?

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a. Germ cell tumors

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b. Sex cord-stromal tumors

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c. Epithelial ovarian cancer

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d. All of these occur with equal frequency.

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What is the most common presenting symptom in a woman with a germ cell tumor?

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a. Bloating

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b. Abdominal pain

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c. Abdominal distention

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d. Menstrual abnormality

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Which of the following is NOT a tumor marker for germ cell tumors?

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a. Inhibin

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b. Alpha-fetoprotein (AFP)

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c. Lactate dehydrogenase (LDH)

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d. Human chorionic gonadotropin (hCG)

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An 18-year-old woman presents with severe, acute abdominal pain. She is found to have a large pelvic mass, and torsion of an enlarged ovary is suspected. During the ensuing surgery, frozen section reveals a dysgerminoma. There is no gynecologic oncologist at your hospital. What is the most appropriate next step?

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a. Perform a bilateral salpingo-oophorectomy and close

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b. Perform a unilateral salpingo-oophorectomy and close

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c. Close ...

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