Adult granulosa cell tumor associated with endometrial carcinoma: a case report.

J Med Case Rep

Health Policy and Management concentration, Masters in Public Health Program, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.

Published: August 2011

Introduction: If strict criteria for the diagnosis of carcinoma are used and all patients with granulosa cell tumors are considered, the best estimate of the incidence of associated endometrial carcinomas is under 5%. In patients with granulosa cell tumors, estrogen-dependent endometrial cancers are rarely found, and most of these endometrial cancers are well-differentiated endometrioid adenocarcinomas that carry a good prognosis when detected early.

Case Presentation: We report the case of a 65-year-old post-menopausal Nigerian woman of the Igbo tribe with an adult granulosa cell tumor that was initially treated as endometrial carcinoma. She underwent a total abdominal hysterectomy and a bilateral salpingo-oophorectomy after histopathologic confirmation of a well-differentiated granulosa cell tumor of the ovary and a nuclear grade 1 adenocarcinoma of the endometrium (International Federation of Obstetricians and Gynecologists stage 1B). She had a good post-operative recovery and was discharged 10 days after treatment.

Conclusion: The association between adult granulosa cell tumors of the ovary and endometrial carcinomas is rare. A high index of suspicion as well as good imaging and histopathologic analyses are important in making this diagnosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158123PMC
http://dx.doi.org/10.1186/1752-1947-5-340DOI Listing

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