Korean J Pathol.  2002 Feb;36(1):62-65.

Mixed Germ Cell-Sex Cord-Stromal Tumor of Non-Gonadoblastoma Type of Ovary: A Case Report

Affiliations
  • 1Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, Korea. krkim@www.amc.seoul.kr

Abstract

We described a case of mixed germ cell-sex cord-stromal tumor of non-gonadoblastoma type (GCSCT-NG) of the ovary in a 2-year-old girl and compared its histological, immunohistochemical and ultrastructural findings with those of gonadoblastoma. The germ cell component showed an immunopositivity for cytokeratin and epithelial membrane antigen (EMA), and a negative reaction for -inhibin, alpha-fetoprotein (AFP), placental alkaline phosphatase (PLAP), vimentin and CD99. The sex cord elements showed an immunopositivity for cytokeratin, EMA, vimentin and inhibin, but negativity for AFP, PLAP, and CD99. The ultrastructural features showed desmosome-like cell junctions, suggesting spermatocytic differentiation from the primordial germ cells or gonocytes. Immunohistochemical and ultrastructural findings suggested that GCSCT-NG is probably a more differentiated form of mixed germ cell- sex cord-stromal tumor than gonadoblastoma.

Keyword

Ovarian Neoplasms-Sex Cord-Stromal Tumor

MeSH Terms

Alkaline Phosphatase
alpha-Fetoproteins
Child, Preschool
Female
Germ Cells
Gonadoblastoma
Humans
Inhibins
Intercellular Junctions
Keratins
Mucin-1
Ovary*
Sex Cord-Gonadal Stromal Tumors
Vimentin
Alkaline Phosphatase
Inhibins
Keratins
Mucin-1
Vimentin
alpha-Fetoproteins
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