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The four most common teratogens are  tobacco, alcohol, medications and illegal drugs. Teratogens are substances that could harm a developing fetus by affecting growth and causing birth defects or death.
The most common germ cell tumor of this age group (and also the most common benign tumor) is the benign cystic teratoma (see Benign Solid Ovarian Tumors). These lesions (also known as dermoid cysts) have a characteristic radiographic appearance.