Granulosa Cell Tumor Of The Ovary – An Incidental Finding During Caesarean Section – A Rare Case Report

Abstract

Approximately one-fourth of the ovarian neoplasms and cysts are diagnosed incidentally during caesarean section. The possibility of borderline tumor or cancer should be considered although existence of ovarian malignancy in pregnancy is rare. We report a case of a rare solid malignant tumor of the ovary incidentally found during caesarean section. Intraoperatively, it was thought to be a variant of the common ovarian teratoma. Ovariectomy was done but histopathology revealed it to be granulosa cell tumor. The diagnosis changed the prognosis and future treatment plan drastically. Equipped with this knowledge physicians can be made aware of the existence of this little-known ovarian neoplasm along with its rare association with pregnancy. Also one can better manage, counsel and follow-up the patients after delivery, given the knowledge of the tumours' inevitable malignant potential and its high incidence of recurrence.

Pregnancy after treatment for adult granulose cell tumor: a case report

“…There are several studies reporting pregnancies concomitant with granulosa cell tumors, usually diagnosed accidentally [10,11], but there are no sufficient data regarding planned pregnancies during the course of follow up for granulosa cell tumors. The present patient planned to have another pregnancy most probably with an IVF procedure with frozen ovarian tissue from the previous operation.…”

Adult Granulosa Cell Tumor in Pregnancy: A New Case and a Review of the Literature

“…In terms of obstetrical outcome, three cases were delivered at term or near term [5,7], while two required delivery at 30 weeks for preterm labor [6] and 32 weeks for placental abruption [8]. The five live babies were of birthweight adequate for gestational age in the four that reported birthweight (Table 4).…”

“…Figure3. Cases of AGCT presenting or recurring in pregnancy were included, 4 from review of the literature[5][6][7][8] and our new case. Patients' age ranged from 23 to 41.…”

Borderline ovarian tumours in pregnant and non-pregnant women – literature review

“…pacjentek oczekujących potomstwa może zachorować na nowotwór [13]. Około 1/4 guzów jajnika zostaje wykryta przypadkowo podczas cesarskiego cięcia [14]. Co szósta zmiana jest stwierdzana w trakcie rutynowego badania ultrasonograficznego w I trymestrze ciąży [15].…”