BILATERAL DYSGERMINOMA OF OVARY WITH DIRECT SPREAD TO UTERINE CORPUS AND CERVIX - A RARE CASE REPORT.

Abstract

Dysgerminomas are the most common primitive germ cell tumors accounting for about 1percentage of all  primary ovarian malignant tumors and constitutes  1-5percentage of all ovarian germ cell tumors. Dysgerminomas often occur bilaterally (approximately 10-15 of cases). They may present at any age from any age from infancy to old age but they are extremely rare under the age of 5 years and over the age of 50 years. Most of the cases develop in women younger than 30 years of age (mean, 21 years). We report a case of bilateral dysgerminoma ovary in a 46 years old female with  direct spread to entire uterus and cervix. Patient presented with abdominal pain and bleeding pervagina for 6 months duration. USG abdomen reported as enlarged uterus with Subserosal fibroid  attached to fundus of the uterus. Total abdominal hysterectomy with bilateral salphingoophoectomy was done. Histopathological examination and Immunohistochemistry  confirmed the diagnosis of Dysgerminoma.