Abstract

THE OVARY GRANULOSA CELL TUMORS: CASE REPORT

Jamal EL Azzaoui*, Mouna Anibri, Oumaima Sarhdaoui, Najia Zraidi, Amina Lakhdar, Abdelaziz Baidada, Aicha Kharbach

ABSTRACT

Granulosa cell tumors are rare ovarian malignancy. The adult form (AGCT) is the most common (95%). The diagnosis remains difficult preoperatively. Although, the hormonal secretion makes it possible to orient the diagnosis and guide the management. On imaging, GCT takes on the appearance of either a mainly cystic multi-septate mass with tissue portions of varying size or a mixed solid cystic mass. The standard treatment modalities are either surgical excision of the tumor with unilateral salpingo-oophorectomy in patients desirous of birth or total hysterectomy, bilateral adnexectomy, cytology and peritoneal biopsies, which should be the wide wild choice of treatment in the elderly patient. Occasionally surgery is followed up with chemo or radiotherapy. GCT carries a risk of recurrence which may occur several years after excisional surgery. The objective of our work is to study the different clinical histological and the modalities of management of granulosa cell tumor, with a case of a 54-year-old patient with a history of arterial hypertension, who presented with a granulosa tumor of the right ovary diagnosed postoperatively at the gynaecological and obstetrical department in the Souissi Maternity Hospital in Rabat, Morocco.

Keywords: Granulosa Cell tumor, ovary, surgey, prognosis.