Pediatric and adolescent ovarian germ cell tumors (GCT) are treated via a risk-based approach, with more intensive therapies reserved for patients with advanced disease.1 The surgeon plays a vital role in ensuring complete resection of the tumor whenever possible, while simultaneously providing detailed information to assist in assigning a final stage allowing for treatment to be tailored in accordance with the appropriate risk category. Proper surgical management of a unilateral ovarian malignant GCT in a pediatric or adolescent patient involves resection of the tumor by ipsilateral oophorectomy while avoiding tumor rupture or spillage, and the performance of comprehensive intraperitoneal staging in the same operative setting.

Complete resection of the tumor via ipsilateral oophorectomy while avoiding tumor rupture and spillage.

Performance of complete intraperitoneal staging at the time of initial tumor resection.