A 17 year old girl was admitted with lump in abdomen, dyspnoea, secondary amenorrhoea and loss of appetite since 4 months and swelling over right arm, shoulder and right aspect of neck since 15 days. Ultrasound and CT abdomen and pelvis showed malignant mass lesion of adnexa with ascites. Doppler of Right arm showed thrombus in Right subclavian vein. Her coagulation profile was altered with INR of 1.4. Considering possibility of germ cell tumor LDH, β HCG and Alpha fetoprotein were done. All these markers were raised. She was started on low molecular weight heparin in view of subclavian vein thrombosis. Neoadjuvant chemotherapy was given followed by staging laparotomy. Histopathology report was suggestive of malignant mixed germ cell tumor. Postoperatively she received 3 cycles of chemotherapy. Main aim of publishing this case is presence of Para neoplastic Syndrome.

Keywords: Adolescent Ovarian Tumor; Germ Cell Tumor; Para Neoplastic Syndrome; Subclavian Vein Thrombosis; Neoadjuvant
Chemotherapy