Juvenile-Type Granulosa Cell Tumor in Pregnancy Presenting as a Ruptured Abdominal Mass

Authors

Odinaka Mogor, Las Palmas Medical CenterFollow
Steven Feinstein, Las Palmas Medical CenterFollow
Glen Friedman, Las Palmas Medical CenterFollow
Jose Salvador Saldivar, Las Palmas Medical CenterFollow
Melissa Mendez, Las Palmas Medical CenterFollow

Keywords

granulosa cell tumor; sex cord-gonadal stromal tumors; ovarian neoplasms; ovarian diseases; pregnancy; pregnancy complications

Disciplines

Obstetrics and Gynecology | Oncology | Surgery

Abstract

Introduction

Granulosa cell tumors (GCTs) are part of the sex cord-stromal tumors occurring with a rare incidence rate that only makes up about 2-5% of all ovarian malignancies.

Case Presentation

A 28-year-old woman, gravida 2, para 1, presented with a juvenile-type granulosa cell tumor at 31 weeks gestation, which appeared as a rapidly growing mass with rupture. She underwent an exploratory laparotomy with unilateral salpingo-oophorectomy, and consequently had a successful vaginal delivery. Post-operatively she was treated with paclitaxel and carboplatin chemotherapy regimen with no evidence of recurrence after one year.

Conclusion

Radical surgical management is recommended for these tumors due to the high recurrence rate, but more conservative surgical options may be considered based on the fertility goals of the patient.

Recommended Citation

Mogor, Odinaka; Feinstein, Steven; Friedman, Glen; Saldivar, Jose Salvador; and Mendez, Melissa (2023) "Juvenile-Type Granulosa Cell Tumor in Pregnancy Presenting as a Ruptured Abdominal Mass," HCA Healthcare Journal of Medicine: Vol. 4: Iss. 1, Article 7.
DOI: 10.36518/2689-0216.1461
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol4/iss1/7