Primary ovarian synovial sarcoma in an adolescent mimicking a germ cell tumor: A case report and diagnostic challenge

The authors aim to highlight the diagnostic challenges posed by primary ovarian synovial sarcoma, a rare malignancy that can mimic more common ovarian tumors like germ cell neoplasms in adolescents. They present a case of a 14-year-old girl with a complex adnexal mass, emphasizing the importance of integrating histopathological and immunohistochemical findings for accurate diagnosis, particularly when molecular testing is not available. The study underscores the aggressive nature of this tumor and the critical need for awareness among clinicians to ensure timely and accurate diagnosis.