Ovary tumor
Germ cell tumors
Dysgerminoma

Authors: Shahrzad Ehdaivand, M.D. (see Authors page)

Revised: 2 June 2016, last major update December 2012

Copyright: (c) 2002-2016, PathologyOutlines.com, Inc.

PubMed search: Ovarian dysgerminoma[title]
Cite this page: Dysgerminoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/ovarytumordysgerminoma.html. Accessed December 7th, 2016.
Definition / General
  • Less than 1% of ovarian malignancies
  • Counterpart of testicular seminoma
  • Usually young patients (81% under age 30)
  • 5% associated with gonadal dysgenesis / Swyer syndrome (World J Surg Oncol 2007;5:71), androgen insensitivity or pseudohermaphroditism; rarely associated with hypercalcemia
  • Metastasize to opposite ovary, retroperitoneal nodes and peritoneal cavity
  • Rarely transforms to yolk sac tumor (Mod Pathol 1995;8:881)
  • Survival: 95%
  • Mixture with choriocarcinoma, yolk sac or embryonal carcinoma worsens prognosis
Treatment
  • Surgery and chemotherapy (NOT radiotherapy, although it is effective for seminoma)
Gross Description
  • 15% bilateral
  • Solid, nodular, small to huge and gray-pink (resembles cerebral cortex)
  • Hemorrhage and necrosis common, but less prominent than other malignant tumors
Gross Images

Images hosted on PathOut server:

Solid, fleshy, lobulated

Cystic degeneration,
necrosis, hemorrhage



Images hosted on other servers:

Various images

Micro Description
  • Nests of tumor cells separated by fibrous stroma with T lymphocytes
  • Large vesicular cells with well defined cell borders, cleared cytoplasm containing glycogen and central nuclei
  • 1+ prominent nucleoli; occasional granulomas
  • May have hCG+ syncytiotrophoblastic cells close to blood vessels or hemorrhagic foci with increased serum hCG
  • May have abortive yolk sac elements with increased serum AFP
  • May be present in wall of mature teratoma; may have pseudotubular or cord-like architecture
  • Early carcinomatous differentiation: 30+ mitoses per 10 high power fields, may worsen prognosis
Micro Images

Images hosted on PathOut server:

Lymphocytes

Cords

Pseudoglandular pattern

Solid tubular pattern

Clear cytoplasm

Dense cytoplasm

Diffuse granulomatous reaction

Syncytiotrophoblastic giant cells (SGCs)

Syncytiotrophoblast cells and functioning stroma



Images hosted on other servers:

Left: PLAP; right: CD117

From Dr. Semir Vranic, Univ of Sarajevo: 15 year old girl

Virtual Slides

Images hosted on other servers:

Dysgerminoma

Positive Stains
Negative Stains
  • CK7, CK20, EMA, HMW keratin, CD30 and vimentin
Molecular / Cytogenetics Description
Videos


Histopathology Ovary - Dysgerminoma