School ager with left lower quadrant abdominal pain and a palpable abdominal mass

Gross pathology image of ovarian dysgerminoma
The surgical specimen measured 11 x 8 x 5 cm in size and was oval in shape with a tan outer surface. The lesion was soft but solid with extensive hemorrhage and necrosis. Gross pathological image of the cut specimen shows extensive hemorrhage and necrosis.

The diagnosis was ovarian dysgerminoma.