Q11) 14 year old (24kg) phenotypic female operated 8 days back for 28 wks size torsion of solid (mostly) ovarian tumor in emergency. She also had large cliteromegaly. Clinical diagnosis was dysgerminoma. LDH was very high. Alpha feto protein came next day was very high. Y chromosome could not be assessed prop as it was taking at-least 10-15 days. Clitoral reduction was planned but laparotomy had lot of adhesions and most probably she would require another surgery to remove another gonad. Uterus was present with b/l fallopian tubes. Vagina is narrow with seperate opening for urethra. Other side gonad was looking streak with a mount on one side. ? testis ?ovotestis. HPR came yday - Malignant Mixed germ cell tumor (Dysgerminoma with Yolk sac tumor) and biopsy from other gonad as seminiferous tubule. Surgical stage was Ic. She is planned for chemo followed by clitoral reduction. Karyotype still awaited. 17 Hydroxy progesterone and testosterone was normal. What is the most likely diagnosis or karyotype?
Posted on: Sun, 08 Jun 2014 06:01:47 +0000
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