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The initial symptoms typically include abdominal pain, bloating, and pelvic masses, primarily affecting children and adolescents. Ultrasound remains the primary imaging modality for ovarian tumors, usually showing solid hypoechoic masses with abundant blood flow within the adnexal region. This article focuses on a case report of a teenage patient with an ovarian mixed germ cell tumor complicated by hepatic metastasis.<\/jats:p>","DOI":"10.1002\/jcu.70157","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:42:22Z","timestamp":1765780942000},"page":"1258-1260","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Malignant Mixed Germ Cell Tumors of the Ovary in an Adolescent"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3146-0304","authenticated-orcid":false,"given":"Xin\u2010yi","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Ultrasound Renmin Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9685-4235","authenticated-orcid":false,"given":"Shuang","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Renmin Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong\u2010ping","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Renmin Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Renmin Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Renmin Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,14]]},"reference":[{"issue":"3","key":"e_1_2_7_2_1","first-page":"662","article-title":"Mixed Germ Cell Tumor (GCT) of Ovary With Atypical Presentation","volume":"19","author":"Jhirwal M.","year":"2024","journal-title":"Maedica (Bucur)"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23529"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2018-000013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.03.023"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.343130067"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000001793"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70157","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcu.70157","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T04:38:12Z","timestamp":1780375092000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.70157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,14]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/jcu.70157"],"URL":"https:\/\/doi.org\/10.1002\/jcu.70157","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,14]]},"assertion":[{"value":"2025-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}