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Case of fetal ovarian juvenile granulosa cell tumor: Complications and management
Author(s) -
Ben David Yehuda,
Sela Nitzan,
Ben David Chen,
Dujovni Tal
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14768
Subject(s) - medicine , polyhydramnios , fetus , ovarian torsion , obstetrics , gestation , virilization , prenatal diagnosis , cyst , pregnancy , gynecology , surgery , androgen , hormone , biology , genetics
A prenatal ovarian juvenile granulosa cell tumor (JGCT) is a rare entity which may present as an intra‐abdominal cyst. Due to its low incidence, optimal management and timing for intervention remain uncertain. This report presents a case of an intra‐abdominal cystic structure in a female fetus, one of the two fetuses in a dichorionic‐diamniotic twin pregnancy, detected during routine fetal sonographic surveillance at 30 weeks of gestation. Further fetal evaluation detected the sonographic triad of an ovarian cystic mass, polyhydramnios and signs of fetal virilizations, requiring us to consider the presence of an atypical, ovarian androgen secreting tumor. Following delivery, acute ovarian torsion and intracystic hemorrhage required emergent surgical intervention, confirming the diagnosis of JGCT. Following surgical treatment, laboratory, clinical, and morphological features improved progressively.