TITLE:
Atypical presentation and localization of granulosa cell tumor—A case report and review of the literature
AUTHORS:
Evangelos Grigoriou Sakkas, Dario Bucella, Alexandre Roland De Wind, Claudia Stanciu, Frederic Buxant
KEYWORDS:
Extraovarian Granulosa Cell Tumor; Torsion
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.2 No.2,
June
27,
2012
ABSTRACT: Introduction: Extraovarian granulosa cell tumor (GCT) is a very uncommon tumor, assumed to arise from the ectopic gonadal tissue along the embryonal route of the genital ridge. Case report: We report the case of a 25 year-old woman who was presented at the emergency unit with a severe abdominal pain focused on the left iliac fossa. The patient had delivered normally 2 months before. An ovarian mass of 79 × 67 × 89 mm was shown in vaginal ultrasound as well as at the abdominal scan. Exploratory laparoscopy was performed and a torsion of the fallopian tube and an hemato-salpinges was visualized. Re-vascularisation was not achieved and a left salpingectomy took place. The immuno-histopathology report revealed an extra-ovarian GCT deriving from the fimbriae of the tube. Follow-up surgery was discussed. The case is presented for its rarity.