A 20-year female presents with a ovarian mass 6x 6 x 6 cm in size Ultrasonography reveals solid structures in the mass. Her serum biomarkers such as AFP, fO-hCG and CA 125 are normal, however, her serum alkaline phosphatase was found to be elevated. The most likely

- dysgerminoma is the most common among the malignant germ cell tumors accounting for 40%. - tumors markers like placental alkaline phosphatase and lactic dehydrogenase may be elevated in dysgerminoma. Reference : textbook of gynaecology Sheila balakrishnan, 2nd edition, pg no: 283 <\p> <\p>