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Borderline, germ cell and stromal tumours

Often in young women — fertility-sparing surgery.

Source: ESGO · standard teaching
BorderlineSurgery alone; fertility-sparing USO (or cystectomy for serous) with staging. No nodes or chemo.
Germ cellYoung women. AFP (yolk sac), hCG (choriocarcinoma, embryonal), LDH (dysgerminoma). Fertility-sparing USO plus staging; BEP chemo beyond stage IA.
Granulosa cellInhibin B and AMH raised; oestrogen effects — sample the endometrium. Late recurrence, long follow-up.
Sertoli-LeydigVirilisation.
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