A Case Report on Malignant Mixed Germ Cell Tumour of Ovary in Post Partum Period

Mixed germ cell tumours of ovary are malignant neoplasm of ovary consists of 2 or more types of germ cell components. Incidence of mixed germ cell tumour ranges from 1 to 6 % in west and 8 to 19 % in Asia. Incidence of these tumours declined by approximately 30 % over past few decades. Dysgerminoma is the most common component and typically seen with yolk sac tumour or immature teratoma or both. We report a case of mixed germ cell tumour consisted of malignant components of dysgerminoma and yolk sac tumour. Patient was 23 years old primipara post natal day 8, presented with complain of pain in abdomen, fever, breathlessness on exertion and abdominal mass. Ultrasound and CT scan shows an abdominopelvic mass with neoplastic etiology. Her tumour markers i. e AFP, CA-19-9, CA-125 and LDH were raised. we perform total hysterectomy with bilateral salpingo-opherectomy as extensive spread of tumour. Conclusion: Malignant mixed germ cell tumours are highly aggressive neoplasm. As cytoreductive surgery is generally recommended for malignant ovarian germ cell tumour if extensive disease is encountered at initial surgery.