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Postpartum Cystic Juvenile Granulosa Cell Tumor: A Case Report

SEVİNÇ ŞAHİN, Levent Seçkin, Selda Seçkin

Abstract


Introduction: Juvenile granulosa cell tumor (JGCT) is a subtype of granulosa cell tumors of the ovary. 80% of JGCT occurs at prepubertal period. And, it is considered to be a slow growing tumor. In addition, gross appearence of it is mostly solid. Herein, we report a pure cystic JGCT case that was detected soon after childbirth with huge dimension.

Presentation of Case: We report a 21 year-old woman who presented with abdominal mass during 6th month after childbirth. Ultrasound revealed a cystic mass of approximately 20 cm in diameter originated from left ovary. The patient underwent laparotomy and unruptured left ovarian cystic mass resection was performed. Uterus and right ovary were totally normal and extraovarian spread was not found. Macroscopic examination revealed totally cystic tumor of 25,5x22x10,2 cm with smooth outlines, containing serous fluid. There were papillary projections and small polypoid structures around 1 cm in diameter into the cavity. Histopathologic and immunohistochemical findings were compatible with JGCT. Relaparotomy was performed for staging and the patient was evaluated as stage IA. She is currently under clinical follow up without any further treatment.

Conclusion: It should be noted that JGCT may rapidly grow and reach a higher dimension, occur during pregnancy and at postpartum period, and may present as cystic rather than a solid mass as in our case presented here.

Keywords


Juvenile granulosa cell tumor; Pregnancy; Postpartum

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References


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