Question: An 11-year-old girl presented to the Emergency Department with acute abdominal pain. She had previously been well and had no significant past medical history. Physical examination revealed a palpable abdominal mass approximately 10 cm. in diameter which the patient denied being aware of. A variety of blood studies were performed and all were normal except for a beta-HCG level of 600,000 of mIU/mL. Ultrasound revealed a normal size uterus and a mass involving the right adnexa. She was taken to surgery which revealed a 10 cm. left ovarian mass. The remainder of her pelvic organs appeared normal.

Multiple sections of the ovarian mass were examined. Figures 1-3 show findings from beneath the ovarian capsule.

What is your diagnosis? What would you do next? 

Click here to view the answer
Figure 1:
Figure 2:
Figure 3:
ClearPath Diagnostics  600 East Genesee Street, Suite 305,  Syracuse, NY 13202
Phone: (315) 234-3300  Toll Free: (866) 310-2406  Fax: (315) 234-3305
Copyright © 2018, ClearPath Diagnostics. All Rights Reserved.
Privacy Policy