This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ovarian Tumors and Vulvar cancer, Subject name: Gynaecology & Obstetrics
An Ovarian neoplasm in a 14-year old girl is most likely to be: 
Select and explain. 
A. Germ cell tumor, B. Epithelial tumor, C. Seolic Leydig cell tumor, D. Granulosa cell tumor
A: Germ cell tumor
Answer: A: Germ cell tumor 
Explanation: Germ cell tumor - younger girls & unilateral Epithelial tumor in elderly women & they are bilateral Germ cell tumors constitute about 15 - 20 % of all ovarian neoplasm and they are the second common ovarian tumors Germ cell tumors have the following features 1. Occur predominantly in children and young adults 2. Most are early stage disease 3. Usually have good prognosis due to chemo responsiveness 4. Feility sparing surgery may be possible