ISSN 1941-5923

Logo



Get your full text copy in PDF

Management of Localized Ovarian Juvenile Granulosa Cell Tumor with Ascites: case report

Lauro José Gregianin, Pedro Emanuel Rubini Liedke, Cristiane Rios Petrarca, Elinês Oliva Maciel, Ana Maria Gaiger, Bernardo Garicochea

Am J Case Rep 2008; 9:50-52

ID: 744371


Background: Juvenile Granulosa Cell Tumor (JGCT) is a rare neoplasm in children. The clinical presentation usually includes a painful abdominal mass and pseudo-precocious puberty. The mainstay of treatment is surgical salpingo-oophorectomy for all cases, followed by platinum containing chemotherapy in advanced cases.
Case Report: We present a case of JGCT in a 2-year-old girl who presented with a history of precocious puberty for 1 year. The imaging studies showed an left ovary mass measuring 5.0. A laparotomy identifi ed peritoneal fluid and a tumor of the left ovary. Before the manipulation of the tumor, a sample of the peritoneal fluid was collected followed by a left salpingooophorectomy. The analysis of the peritoneal fluid identified neoplasic cells. The patient then received chemotherapy with cisplatinum, etoposide and ifosfamide.
Conclusions: This case emphasizes the importance of the peritoneal fluid sampling before salpingooophorectomy allowing correct surgical staging and treatment decision.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree