Ovarian Germ Cell and Sex Cord-Stromal Tumors
What approximate percentage of all ovarian cancers are germ cell and sex cord-stromal tumors?
Women with germ cell tumors are diagnosed most commonly during which International Federation of Gynecology and Obstetrics (FIGO) disease stage?
Which of the following invasive cancers is most commonly diagnosed in women during their 20s (third decade)?
b. Sex cord-stromal tumors
c. Epithelial ovarian cancer
d. All of these occur with equal frequency.
What is the most common presenting symptom in a woman with a germ cell tumor?
Which of the following is NOT a tumor marker for germ cell tumors?
b. Alpha-fetoprotein (AFP)
c. Lactate dehydrogenase (LDH)
d. Human chorionic gonadotropin (hCG)
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?
a. Perform a bilateral salpingo-oophorectomy and close
b. Perform a unilateral salpingo-oophorectomy and close