Global Journal of Medical Research, E: Gynecology and Obstetrics, Volume 21 Issue 3

mass excision. Frozen section was suggestive of germ cell tumor. Histopathology was suggestive of mixed germ cell tumor (yolk sac tumor + dysgerminoma). Patient withstood the procedure well. Post operative monitoring done, followed by chemotherapy with Bleomycin + etoposide + Docetaxel. CASE 2 A case of 37 years old, unmarried, nulligravida with right tubo-ovarian mass, with ventriculoperitoneal shunt, presented to outpatient department with pain abdomen, irregular menses. On Examination, her general condition - fair, vitals normal, no pallor/edema/icterus, cardiovascular/ respiratory system – within normal limits. On per abdomen examination, a mass of 30 weeks felt over abdomen, irregular margins present, firm to hard in consistency, immobile, local rise of temperature noted. ON Per rectal examination, firm, irregular mass felt Her ultrasound Abdomen + Pelvis was suggestive of right ovarian mass of 14x 17 x 17 cm, in lower abdomen, and right adnexal region. The lesion shows spongiform pattern with multiple variable sized anechoic cyst interspersed with echogenic stroma, suggestive of right ovarian mass possibly neoplastic and right sided tubo-ovarian torsion. Tumor markers- LDH – 1251 U/L, HCG – 1.5 MIU / ML, CA 125 – 233.3 U/ ML 4 Year 2021 Global Journal of Medical Research Volume XXI Issue III Version I ( D ) E © 2021 Global Journals A Study of Giant Ovarian Tumors Presenting with Higher Incidence of Torsion: A Journey of my Experience in Covid-19 Pandemic at Tertiary Care Centre