Open AccessDelayed Menopause Due to Ovarian Granulosa Cell Tumour
Author(s) -
M Neetha Vyas,
Lakshmi Manjeera,
Supriya Rai
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/6911.3507
Subject(s) - menopause , medicine , hysterectomy , laparotomy , omentectomy , ovary , gynecology , surgical menopause , histopathology , granulosa cell , abdominal hysterectomy , radiology , pathology
A patient presented to us with complaints of inability to attain menopause even at the age of 64. She has been having irregular cycles of bleeding for 5 days every 2-3 months from the age of 54. On evaluation, she was found to have endometrial hyperplasia and ultrasonography showed a homogenous solid ovarian mass of size of the 4 cm x 3.5 cm. She underwent staging laparotomy with total abdominal hysterectomy bilateral salpingo-oophorectomy and infra colic omentectomy. Histopathology confirmed granulosa cell tumour of the ovary. Most commonly granulosa cell tumour presented with post-menopausal bleeding and abnormal uterine bleeding, however, women with delayed menopause also have to be evaluated thoroughly for estrogen secreting ovarian tumours. There should be an element of suspicion if patient doesn't attain menopause as specified and they need to be evaluated in detail.