Incidental diagnosis of granulosa cell tumour in a 25-year-old woman

Abstract

A 25-year-old woman presented with backache of 2 weeks duration and had 45-60 days menstrual cycle. On transvaginal sonography (TVS), her left adnexa showed a heterogenous solid mass of 5.3×4.2 cm and moderate vascularity on color doppler. Serum inhibin B was raised to 2249 pg/ml. MRI showed 5.5× 4.5 cm solid mass in the left ovary with lobulated margins suggestive of sex cord-stromal/ germ cell tumor. Laparoscopy showed an enlarged left ovary with intact surface. Left adnexectomy with staging biopsies and infracolic omentectomy was performed. Histopathology showed adult granulosa cell tumor with intact ovarian capsule. One-month post-surgery, inhibin B level was 44 pg/ml. She wishes to conceive after six months follow-up.

Adult granulosa cell tumor of ovary in a young female: A rare case report

“…Diagnosis of solid tumor in young female is often delayed because they mimic common conditions like pedunculated fibroids, fibromas, thecomas, polycystic ovary, malignant ovarian tumors, or an ovarian torsion. 1 We present a rare case of granulosa cell tumor of ovary in a young female.…”