Metastatic granulosa cell tumor of the ovary - A cytologic disposition (original) (raw)

Journal of Case Reports, 2016

Abstract

Adult granulosa cell tumor (GCT) of the ovary is oftentimes a hormonally active, stromal cell neoplasm that is distinguished by its ability to secrete sex steroids such as estrogen and is mostly diagnosed in postmenopausal women. Patients may present with vaginal bleeding as a result of prolonged exposure to tumor-derived estrogen. In addition, GCT is a vascular tumor that may occasionally rupture and result in abdominal pain, hemoperitoneum, and hypotension, mimicking an ectopic pregnancy in younger patients. We report a rare case of a metastatic adult granulosa cell tumor of the ovary in a 25-year-old woman who presented with abdominal swelling and pain for the last 6 months with an ill-defined, firm left adnexal mass on pelvic examination with ascites. Cytological impression of the ascitic tap was suggestive of Granulosa cell Tumor. Histopathology of the mass confirmed the cytopathological diagnosis.

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