A Rare case of Bilateral ovarian dysgerminoma with Syncytiotrophoblast giant cell ; A Case report

Dysgerminoma is an uncommon tumor,accounting for 1-2% of primary ovarian neoplasm and for 35% of ovarian malignancies.Tumor may occur at any age from infancy to old age,but most cases occur in adolescence and early adult life.Dysgerminoma occur not infrequently before puberty but is very rare after menopause.Literature states that about 2% of nonpregnant patient with dysgerminoma present with elevated serum or urine level of hCG. Moreover,once diagnosed,it responds highly to prescribed treatment,rescuing patient from infertility and early mortality.These tumors are radiosensitive.Here we present a case of 16 year old girl presenting with abdominal lump,ascites and abdominal pain with elevated urinary and serum hCG levels.An abdominal USG showed bilateral ovarian mass.Bilateral oophorectomy was done and diagnosis is confirmed by histopathology.