Abstract
Gonadoblastoma is an extremely rare neoplasm of the ovary showing admixture of germ cells and sex cord cells. It may be associated with gonadal dysgenesis. Gonadoblastoma cells may give rise to individual germ cell tumours or mixed germ cell tumours with variable tumour components. Very few cases of ovarian gonadoblastoma admixed with malignant germ cell tumours have been recorded worldwide. Because of the rareness of the tumour, a component of gonadoblastoma might be overlooked on microscopic examination. Here we report a rare case of ovarian gonadoblastoma giving rise to an admixture of immature teratoma and dysgerminoma. We discuss microscopic features, immunohistochemistry findings and review of literature.
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References
Scully RE (1970) Gonadoblastoma. A review of 74 cases. Cancer 25:1340–1356
Ulbright TM, Kao CS. Gonadoblastoma. In: Cheung AN, Ellenson LH, Gilks CB, Kim K-R, Kong CS, Lax SF, Longacre TA et al (eds) (2020) Tumours of ovary. In WHO classification of female genital tumours, 5th ed, vol 70. WHO Classification of Tumours Editorial Board, International Agency for Research on Cancer (IARC), Lyon, pp 140–142
Zaloudek C, Vang R. Mixed Germ Cell Tumour of the Ovary. In: Cheung AN, Ellenson LH, Gilks CB, Kim K-R, Kong CS, Lax SF, Longacre TA et al (eds) (2020) Tumours of ovary. In: WHO classification of female genital tumours, 5th edn, vol 70. WHO Classification of Tumours Editorial Board, International Agency for Research on Cancer (IARC), Lyon, p 131
Hart WR, Burkons DM (1979) Germ cell neoplasms arising in gonadoblastomas. Cancer 43(2):669–678
Arafah MA, Raddaoui LE (2018) Malignant mixed germ cell tumour overgrowing a gonadoblastoma in a female with a 46, XX karyotype: a case report. Int J Surg Pathol 26(3):287–292
Gru AA, Williams ES, Cao D (2017) Mixed gonadal germ cell tumour composed of a spermatocytic tumour-like component and germinoma arising in gonadoblastoma in a phenotypic woman with a 46, XX peripheral karyotype: report of the first case. Am J Surg Pathol 41(9):1290–1297
Losada DM, Benetti-Pinto CL, Andrade LALA (2019) Gonadoblastoma-associated mixed gonadal germ cell tumour with dysgerminoma and hepatoid yolk sac tumour components in 46xy gonadal dysgenesis. J Pediatr Adolesc Gynecol 32(5):558–560
Zhu HL, Bao DM, Wang Y, Shen DH, Li Y, Cui H (2016) Swyer’s syndrome with mixed ovarian malignant germ cell tumour and ovarian gonadoblastoma. Chin Med J (Engl) 129(14):1752–1754
Kulkarni MM, Khandeparkar SG, Joshi AR, Bhayekar PV (2016) Unilateral gonadoblastoma with dysgerminoma in normal fertile woman having a child: extremely rare occurrence with characteristic immunohistomorphology. Indian J Pathol Microbiol 59:527–529
Yüce Ö, Döğer E, Çelik N, Emeksiz HC, Çamurdan MO, Bideci A, Cinaz P (2015) Gonadoblastoma with dysgerminoma in a phenotypically turner-like girl with 45, X/46, XY karyotype. J Clin Res Pediatr Endocrinol 7(4):336–339
Ulbright TM (2014) Gonadoblastoma and hepatoid and endometrioid-like yolk sac tumour: an update. Int J Gynecol Pathol 33(4):365–373
Piazza MJ, Urbanetz AA (2019) Germ cell tumours in dysgenetic gonads. Clinics (Sao Paulo) 74:e408
Talerman A, Roth LM (2007) Recent advances in the pathology and classification of gonadal neoplasms composed of germ cells and sex cord derivatives. Int J Gynecol Pathol 26:313–321
Palma I, Garibay N, Pena-Yolanda R, Contreras A, Raya A, Dominguez C, Romero M, Aristi G, Queipo G (2013) Utility of OCT3/4, TSPY and β-catenin as biological markers for gonadoblastoma formation and malignant germ cell tumour development in dysgenetic gonads. Dis Markers 34(6):419–424
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Patel, T., Jakhetiya, B., Jakhetiya, A. et al. A rare case of ovarian gonadoblastoma flourishing into malignant mixed germ cell tumour with review of literature. Int Canc Conf J 11, 114–118 (2022). https://doi.org/10.1007/s13691-021-00531-w
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DOI: https://doi.org/10.1007/s13691-021-00531-w