Impact of Surgical Timing (Primary, Delayed, or Second Look) on Surgical Morbidity and Outcomes in Malignant Germ Cell Tumor of the Ovary in Children

This study examines how surgical timing—primary resection, delayed surgery after chemotherapy, or second-look procedures—affects outcomes and complications in pediatric malignant ovarian germ cell tumors. The analysis evaluates surgical staging adequacy and morbidity patterns to guide treatment sequencing decisions in this rare pediatric malignancy.