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__NOTOC__
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{{Ovarian germ cell tumor}}
{{Ovarian germ cell tumor}}
{{CMG}}{{AE}} {{MD}}
{{CMG}}; {{AE}} {{Sahar}} {{MD}}
==Overview==
Patients with [[germ cells]] of the [[ovary]] usually appear normal. [[Physical examination]] of these patients is usually unremarkable and the [[tumors]] tend to be discovered incidentally or during [[imaging]] workups for another reason. When [[symptomatic]], the [[physical examination]] may be remarkable for [[Abdominal]]/[[pelvic]] [[mass]] and/or [[signs]] of [[virilization]], [[precocious puberty]], and [[pregnancy]] depending on the capacity of the [[tumor]] for the production of [[hormones]].
==Physical Examination==
[[Physical examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
===Appearance of the Patient===
*Patients with [[germ cell]] [[tumors]] of the [[ovary]] usually appear normal.
===Vital Signs===
*[[Fever]] is present in 10% to 25% of individuals with [[malignant]] [[ovarian]] [[germ cell]] [[tumors]].<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>
*[[Hypotension]] or [[shock]] may occur in case of spontaneous [[rupture]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
**Spontaneous [[rupture]] may happen in <4% of affected individuals.


==Overview==
===Skin===
Physical examination of patients with ovarian germ cell tumor is usually remarkable for [[vaginal bleeding]], [[abdominal distention]], and adnexal mass.<ref name= abc>{{cite book | last = Hoffman | first = Barbara | title = Williams gynecology | publisher = McGraw-Hill Medical | location = New York | year = 2012 | isbn = 9780071716727 }}</ref>
* [[Skin]] [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
==Ovarian Germ Cell Tumor Physical Examination==
===HEENT===
* HEENT [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
===Neck===
* [[Neck]] [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
===Lungs===
* [[Pulmonary examination]] of patients with [[germ cell]] [[tumors]] of the ovary is usually normal.
===Heart===
* [[Cardiovascular]] [[examination]] of patients with [[ovarian]] [[germ cell]] [[tumors]] is usually normal.
===Abdomen===
===Abdomen===
* [[Abdominal distention]] <ref name= abc>{{cite book | last = Hoffman | first = Barbara | title = Williams gynecology | publisher = McGraw-Hill Medical | location = New York | year = 2012 | isbn = 9780071716727 }}</ref>  
* [[Abdominal examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] may be remarkable for a [[mass]] or [[Abdominal distention|distention]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
* Abdominal tenderness
* [[Ascites]] can also be present.<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>
===Pelvic exam===
* [[Vaginal bleeding]]
* Adnexal mass


===Back===
* Back [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
===Genitourinary===
*A [[pelvic]]/[[adnexal]] [[mass]] may be palpated.<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
* Although rarely, [[Mature cystic teratoma|mature teratoma]] may present as a [[vaginal]] [[mass]].<ref name="VuralVural2015">{{cite journal|last1=Vural|first1=F.|last2=Vural|first2=B.|last3=Paksoy|first3=N.|title=Vaginal teratoma: A case report and review of the literature|journal=Journal of Obstetrics and Gynaecology|volume=35|issue=7|year=2015|pages=757–758|issn=0144-3615|doi=10.3109/01443615.2015.1004525}}</ref>
===Neuromuscular===
* [[Neuromuscular]] [[examination]] of patients with [[ovarian]] [[germ cell]] [[tumors]] is usually normal.
===Extremities===
* [[Extremities]] [[examination]] of patients with [[germ cells]] of the [[ovary]] is usually normal.
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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Latest revision as of 13:53, 22 April 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Monalisa Dmello, M.B,B.S., M.D. [3]

Overview

Patients with germ cells of the ovary usually appear normal. Physical examination of these patients is usually unremarkable and the tumors tend to be discovered incidentally or during imaging workups for another reason. When symptomatic, the physical examination may be remarkable for Abdominal/pelvic mass and/or signs of virilization, precocious puberty, and pregnancy depending on the capacity of the tumor for the production of hormones.

Physical Examination

Physical examination of patients with germ cell tumors of the ovary is usually normal.

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

  1. ↑ 1.0 1.1 Tewari, K (2000). "Malignant germ cell tumors of the ovary". Obstetrics & Gynecology. 95 (1): 128–133. doi:10.1016/S0029-7844(99)00470-6. ISSN 0029-7844.
  2. ↑ 2.0 2.1 2.2 Low, Jeffrey J.H.; Ilancheran, Arunachalam; Ng, Joseph S. (2012). "Malignant ovarian germ-cell tumours". Best Practice & Research Clinical Obstetrics & Gynaecology. 26 (3): 347–355. doi:10.1016/j.bpobgyn.2012.01.002. ISSN 1521-6934.
  3. ↑ Vural, F.; Vural, B.; Paksoy, N. (2015). "Vaginal teratoma: A case report and review of the literature". Journal of Obstetrics and Gynaecology. 35 (7): 757–758. doi:10.3109/01443615.2015.1004525. ISSN 0144-3615.

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