Tumor markers were available only in 51 cases (52.6%) and were increased in only five patients (9.8%): three girls with a mature teratoma presented an elevation of the Ca-125, one girl with a mature teratoma had increased levels of CEA and the last patient, who reported very high levels of αFP (224 ng/ml), was diagnosed with a mixed germ cell tumor. Here, AFP is linked to neoplasm.