Open AccessDisseminated ovarian granulosa cell tumor after laparoscopic surgery
Author(s) -
Manhua Cui,
Xiwen Zhang,
Liping Zhao,
Shuyan Liu,
Yan Jia
Publication year - 2021
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000025176
Subject(s) - medicine , laparotomy , ovarian cancer , ovarian tumor , incidence (geometry) , stage (stratigraphy) , metastasis , surgery , laparoscopic surgery , ovary , laparoscopy , cancer , paleontology , physics , optics , biology
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.