tubal metastasis

Background: Dysgerminomas are the most common of the primitive germ cell tumours. They account for nearly half of such tumours, 1% of all ovarian cancers. About 10% of these tumours are grossly bilateral. Though rare, dysgerminoma can metastasize to fallopian tube. Case Report: A 20 year old female presented to the gynaecology OPD with complain of abdominal swelling, was found to have bilateral abdomino-pelvic lump. On CT-Scan heterogeneously enhancing solid SOL was noted in abdomino-pelvic cavity. During operation bilateral ovarian mass with lymphadenopathy was seen and resected mass was sent for histopathological examination. Microscopically both the ovaries showed the picture of Dysgerminoma with involvement of the left tube. Conclusion: This case of dysgerminoma with tubal metastasis has been reported in view of its rarity. However, diagnosis of these tumours should only be given after proper extensive sectioning to rule out any other germ cell component.