JUVENILE GRANULOSA CELL TUMOR OF OVARY

Abstract

Juvenile granulosa cell tumors of ovary
are rare form of neoplasm that makes up
less than 5 of ovarian tumors in childhood
and adults.90 are diagnosed in
stage 1 with favorable prognosis. A 23yrs
P1L1 post lscs patient admitted with
complaints of one year amenorrhea followed
by continuous bleeding per vaginum
for 1 month and diagnosed to have
left complex ovarian cyst. Laparotomy
proceeded and in view of young age and
fertility requirements unilateral left ovariectomy
was performed. Histopathology
report was juvenile granulosa cell tumor
of ovary grade 2. Immunohistochemistry
was strongly positive for Inhibin and
other tumor markers were normal and
patient was on follow up. She conceived
5months after surgery and delivered an
alive girl baby by caesarean section. At
the time of cesarean section the residual
ovary was normal, omental biopsy taken
and found to be normal and patient was
on follow up. After one year patient
developed a left ovarian cyst. Total abdominal
hysterectomy ,left cystectomy with
right salphingo oophorectomy
done.Histopathology report was normal.