Atypical presentation and localization of granulosa cell tumor—A case report and review of the literature英文文献资料.docVIP

Open Journal of Obstetrics and Gynecology, 2012, 2, 161-163 OJOG /10.4236/ojog.2012.22031 Published Online June 2012 (http://www.SciRP.org/journal/ojog/) Atypical presentation and localization of granulosa cell tumor—A case report and review of the literature* Evangelos Grigoriou Sakkas , Dario Bucella, Alexandre Roland De Wind, Claudia Stanciu, # Frederic Buxant Ixelles Hospital (Centre Hospitalier, IRIS Sud), Free University of Brussels, Brussels, Belgium # Email: sakvag@ Received 9 February 2012; revised 5 March 2012; accepted 14 March 2012 ABSTRACT diffuse but later on it was focused on the left iliac fossa accompanied by episodes of vomiting. Her personal his- tory did not reveal anything apart the fact that she had delivered normally two months before and the delivery was followed by moderate bleeding. A hormonal intra- uterine contraceptive device was inserted one month af- ter delivery. At her arrival the patient was afebrile, perspiring and very painful. The clinic exam revealed an elevated sensi- bility at the left iliac fossa and the palpation of a su- prapubic mass. On investigation, her hemoglobin was 10.9 g/dl, hematocrite 33.7%, white blood cells 10.760/ml, Neutrophiles 70.5%, C-reactive protein 0.06 (0.5), lac- tate dehydrogenase 322 UI/L (240 - 480 UI/L) and serum HCG negative. 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 emer- gency 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 ab- dominal scan. Exploratory laparoscopy was performed and a torsion of the fallopian tube and an hemato- salpinges was visualized. Re-va