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.

DOI: 10.4236/ojog.2012.22031                

Abstract

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 emergency 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 abdominal scan. Exploratory laparoscopy was performed and a torsion of the fallopian tube and an hemato-salpinges was visualized. Re-vascularisation was not achieved and a left salpingectomy took place. The immuno-histopathology report revealed an extra-ovarian GCT deriving from the fimbriae of the tube. Follow-up surgery was discussed. The case is presented for its rarity.

Keywords

Extraovarian Granulosa Cell Tumor; Torsion

Conflicts of Interest

The authors declare no conflicts of interest.

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