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We report a rare case of a malignant mixed germ cell tumor (yolk sac tumor and choriocarcinoma) arising in a gonadoblastoma of the left ovary in a 19-year-old female with a 46, XX karyotype. The patient\u2019s initial \u03b1-fetoprotein level was 20 000 KIU\/L. The patient underwent a laparoscopic unilateral salpingo-oophorectomy with omentectomy and peritoneal washing followed by adjuvant chemotherapy.<\/jats:p>","DOI":"10.1177\/1066896917744342","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T00:20:53Z","timestamp":1511914853000},"page":"287-292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Malignant Mixed Germ Cell Tumor Overgrowing a Gonadoblastoma in a Female With a 46, XX Karyotype: A Case Report"],"prefix":"10.1177","volume":"26","author":[{"given":"Maria A.","family":"Arafah","sequence":"first","affiliation":[{"name":"King Saud University and King Khaled University Hospital, Riyadh, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leen E.","family":"Raddaoui","sequence":"additional","affiliation":[{"name":"Alfaisal University, Riyadh, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"bibr1-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197006)25:6<1340::AID-CNCR2820250612>3.0.CO;2-N"},{"key":"bibr2-1066896917744342","first-page":"298","volume":"44","author":"Schellhas HF","year":"1974","journal-title":"Obstet Gynecol"},{"key":"bibr3-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1016\/0046-8177(89)90080-4"},{"key":"bibr4-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1995.1195"},{"key":"bibr5-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19901215)66:12<2668::AID-CNCR2820661234>3.0.CO;2-5"},{"key":"bibr6-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1827.2000.01041.x"},{"key":"bibr7-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-0489-8_16"},{"key":"bibr8-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(69)90303-2"},{"key":"bibr9-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.45.9.828"},{"key":"bibr10-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1016\/S0344-0338(80)80153-1"},{"key":"bibr11-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1097\/01.pgp.0000250148.52215.ce"},{"key":"bibr12-1066896917744342","doi-asserted-by":"publisher","DOI":"10.4103\/0377-4929.64344"},{"key":"bibr13-1066896917744342","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.185864"},{"key":"bibr14-1066896917744342","first-page":"175","volume":"49","author":"Madiwale CV","year":"2003","journal-title":"J Postgrad Med"},{"key":"bibr15-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2008.02988.x"},{"key":"bibr16-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000888"},{"key":"bibr17-1066896917744342","first-page":"138","volume":"43","author":"Talerman A.","year":"1974","journal-title":"Obstet Gynecol"},{"key":"bibr18-1066896917744342","first-page":"416","volume":"38","author":"Talerman A.","year":"1971","journal-title":"Obstet Gynecol"},{"key":"bibr19-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197211)30:5<1219::AID-CNCR2820300512>3.0.CO;2-U"},{"key":"bibr20-1066896917744342","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197005)25:5<1107::AID-CNCR2820250516>3.0.CO;2-7"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896917744342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1066896917744342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1066896917744342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:21:56Z","timestamp":1777458116000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1066896917744342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,28]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/1066896917744342"],"URL":"https:\/\/doi.org\/10.1177\/1066896917744342","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,28]]}}}