Mixed germ cell tumour in pregnancy: clinical insights and challenges

A young 24 weeks pregnant woman in her 20s presented with abdominal pain and distension and was diagnosed to have an ovarian mixed germ cell tumour (GCT). She received chemotherapy with weekly paclitaxel and carboplatin with a good clinical response, which was followed by the delivery of a healthy child. Subsequently, she underwent cytoreductive surgery and completed chemotherapy. She is currently disease-free for 7 years and there are no treatment-related sequelae in either the patient or her child. This case report aims to highlight the intricacies of managing ovarian GCT during pregnancy, illustrating that positive outcomes are possible even in the face of significant medical challenges.