Malignant Germ cell Tumor of Ovary: An Unusual Combination and An Irony of Fate

Malignant mixed ovarian germ cell tumors are very rare malignant tumors, with a high degree of malignancy. They aggressive cancers affecting young adolescent girls. The commonest combination reported in literature is dysgerminoma and endodermal sinus tumors. Fertility sparing surgery followed by chemotherapy the treatment choice. objectives this case report advanced age presentation, unusual histopathological combination, irony infertility treatment. We 40-year-old woman tumor comprising components tumor, immature teratoma, embryonal carcinoma. Patient was on hormonal therapy for cause infertility, presented complains lower abdominal pain, constipation incomplete evacuation bladder 2months. Transvaginal ultrasonography CT scan showed large multicystic space occupying lesion predominant solid component midline abdominopelvic location. Tumor markers i.e., AFP, Prolactin CA125 were raised. Total hysterectomy bilateral salpingoophorectomy, pelvic retroperitoneal node resection, peritonectomy omentectomy performed.