Regarding tumor markers, the total inhibin level was 1,069 U/L (normal <100 U/L for prepubertal child) and the alpha fetoprotein levelwas 987 μg/L (normal 1 to 200 μg/L) while B human chorionic gonadotropin, lactic dehydrogenase and alkaline phosphatase were negative. This evidence concerns the gene AFP and neoplasm.