Abstract
Background
Pregnancy complicated with juvenile granulosa cell tumor (JGCT) is very rare; thus, the experience on clinical diagnosis and management is limited.
Cases
Two patients presented with abdominal pain, two were incidentally discovered, one by ultrasonography, and one during a caesarian section. One case received an emergency caesarian section because of tumor rupture at 38th week’s gestation, the rest were treated at full term and no abnormalities were detected in the newborns. Three cases received further staging surgery, two of which received postoperative adjuvant chemotherapy. No patient had recurrent disease after a follow-up period spanning from 13 to 57 months.
Conclusion
In the absence of emergency, surgery can be delayed without affecting the fetus. More research is needed to determine the value of chemotherapy in FIGO stage I patients.
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All data generated or analyzed during this study are included in this published article.
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E Ndhlovu: study design, data collection, data analysis, manuscript writing. B Chen: study design, data collection, data analysis, manuscript revision. J Dai: data collection, data analysis, manuscript checking. XY Dong: data collection, data analysis, manuscript checking. H Deng: data collection, data analysis, manuscript revision. L Liu: study design, data collection, data analysis, manuscript revision.
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This study was approved by the Tongji Hospital Medical Ethics Committee (approval number: 20200317).
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Ndhlovu, E., Deng, H., Dai, J. et al. Juvenile granulosa cell tumor in pregnancy: case series and literature review. Arch Gynecol Obstet 305, 1299–1310 (2022). https://doi.org/10.1007/s00404-021-06283-5
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DOI: https://doi.org/10.1007/s00404-021-06283-5