Adult granulosa cell tumor in a thirty-three year old female : a case report / Maybelle S. Cabungcal.

Includes bibliographical references.

ABSTRACT: A 33-year old, Gravida 2 Para 1 (1011), female, previously diagnosed with Mucinous Adenocarcinoma, Left Ovary Stage III-B, S/P Left Salpingooophorectomy and Infracolic Omentectomy in Sudan, Africa on March 4, 2009. One month prior to admission, the patient noticed an abdominal mass at the left lower quadrant and progressive enlargement of the abdomen. She was admitted at FEU-NRMF Medical Center and underwent Exploratory, Total Abdominal Hysterectomy with Right Salpingooophorectomy, Tumor debulking, Segmental Research and Primary Anasromosis of Jejunum, Hartmann`s Procedure, Appendectomy, and Insertion of JP Drain. The case was signed-out as "Spindle Cell Tumor with involvement of the following: tissue labelled as ovarian tumor and serosa of the sigmoid and jejunum, with the following considerations: Sarcoma Most Probably Leiomyosarcoma, Post-operative Spindle Cell Nodule, Inflammatory Myfibrolastic Tumor, and Poorly Differentiated Sertoli-Leydig Cell Tumor". The slides and blocks were brought to another institution for immunohistochemical staining where the case was signed-out as :granulosa Cell Tumor, Diffuse (Sarcomatoid) Type". Adult granulosa cell tumor is a rare event. The diagnosis is based on histomorphologic features, as well as the aid of immunohistochemical staining. The histopathologic diagnosis and the histologic differential diagnosis of adult granulosa cell tumor are discussed in the paper.

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