Table 1.

COG Surgical Guidelines for Ovarian MGCT

Guideline
Collection of peritoneal fluid or washings for cytology
Examination of peritoneal surfaces with biopsy of any abnormal areas
Palpate retroperitoneal lymph nodes; biopsy only if abnormal (firm or enlarged)
Inspect omentum; biopsy only if abnormal
Palpate/inspect opposite ovary; biopsy only if abnormal
Complete resection of involved ovary intact (no capsule entry on field) with sparing of fallopian tube if not involved

Abbreviations: COG, Children's Oncology Group; MGCT, malignant germ cell tumor.