Cui MH, Zhang XW, Zhao LP, Liu SY, Jia Y. Disseminated ovarian granulosa cell tumor after laparoscopic surgery: Two case reports.
Medicine (Baltimore) 2021;
100:e25176. [PMID:
33847615 PMCID:
PMC8052061 DOI:
10.1097/md.0000000000025176]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 02/25/2021] [Indexed: 01/04/2023] Open
Abstract
RATIONALE
Granulosa cell tumors (GCT) have an incidence of 0.6 to 0.8/100,000. Short-term relapsed ovarian GCT is extremely rare. Herein, this report aims to present 2 rare cases of disseminated ovarian GCT and analyze the causes of recurrence.
PATIENT CONCERNS
The 2 patients presented with abdominal pain.
DIAGNOSIS
Both the patients were diagnosed with relapsed ovarian GCT (IIIc stage) in the adult type.
INTERVENTIONS
The 2 patients had a medical history of surgery for ovarian GCT by using laparoscopic with power morcellators (LPM). They experienced relapsed ovarian GCT postoperatively. Subsequently, they received a repeated operation through a laparotomy approach. Numerous malignant metastasis neoplasms were detected at the port-sites. Then, tumor resection was performed.
OUTCOMES
The postoperative pathologies of both case 1 and case 2 reported ovarian GCT (IIIc stage) in adult type. The 2 patients presented disease-free survival for more than 33 months follow-up period.
LESSONS
The application of LPM may be a risk factor of disseminated ovarian GCT. However, laparoscopic surgery is still an optimal treatment strategy for ovarian tumors. Besides, gynecologists should comply with the tumor-free principle during surgery.
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