Ovarian Adult Granulosa Cell Tumor – a rare case report

  • R Joshi Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal
  • G Baral Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal
  • K Malla Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal

Abstract

Introduction: Adult granulosa cell tumor is a rare tumor which accounts for 1% of all ovarian tumors. They usually present with postmenopausal bleeding and abdominal mass. Inhibin is used as the tumor marker.


Case: A 76 years multiparous post-menopausal women presented with vaginal bleeding for past three years and painless huge mass in lower abdomen. She underwent total abdominal hysterectomy with bilateral salphingo-oophorectomy with bilateral pelvic lymphnode dissection with appendectomy. Histopathology showed the adult granulosa cell tumor with few mitosis, Stage IA. Her postoperative period was uneventful.


Conclusion: Surgery is the mainstay of treatment of granulosa cell tumor and chemotherapy is indicated in advanced cases. Although they have better prognosis, life-long follow up is advised to detect late recurrence.


Keywords: granulosa cell tumor, inhibin, ovarian tumor.

Published
Jan 3, 2019
How to Cite
JOSHI, R; BARAL, G; MALLA, K. Ovarian Adult Granulosa Cell Tumor – a rare case report. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 13, n. 1, p. 57-60, jan. 2019. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/938>. Date accessed: 24 june 2019.
Section
Case Reports