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Pikeville (20-11), seeded fourth in the six-team tournament, led 24-18 after freshman Megan Mosley tossed in a three-point shot with 8:43 remaining in the first half.
But from there Georgetown took over, turning a six-point deficit into a nine-point lead. Sophomore Ashley Prince scored seven of her nine points in the 6:42 stretch, which ended when Makaine Huffer nailed a three with 2:01 left. Huffer had five of her nine points in the run.
Neither team shot well in the game, with Georgetown hitting 40 percent of its shots and Pikeville sinking only 33.3 percent. The teams combined to turn it over 44 times, with Pikeville giving it up 23 times.
Georgetown, 17-14, had only one player in double figures. Senior Ashley Bell finished with 12 to go with five rebounds and three steals. Huffer, Prince, Maddy Lewis and Katie Filiatreau followed with nine points apiece, and eight Tigers had at least seven points in the win.
Huffer led Georgetown's effort on the glass with six rebounds, as all five starters had at least four rebounds.
Pikeville was led by sophomore Natiera Hinton, as the league's leading scorer finished with 19 points and nine rebounds to go with five steals. Sophomore Lakia Bailey joined her in double digits with 14 and pulled down seven rebounds.
Senior Kristal Daniels had eight points and a game-high 12 rebounds as Pikeville won that battle 44-34.