Abstract
Female patient, 58 years old, was admitted to the hospital with a pelvic mass found for 7 days, 4 years after chemotherapy after ovarian granulosa cell tumor cytoreductive surgery. Postoperative pathology after cytoreductive surgery 4 years ago: left ovarian adult granulosa cell tumor, involving the uterine seromuscular layer and serous layer of the left fallopian tube. No tumor metastasis was found in the pelvic lymph nodes and greater omentum. Ultrasonography examination showed that the whole uterus and bilateral adnexa had been removed. Pelvic effusion: anechoic area above the vagina, 72 mm × 62 mm × 17 mm in size. A mixed echo area of 93 mm × 65 mm × 58 mm was found on the right side of pelvic cavity, with abundant color blood flow; a moderate hypoechoic area was found on the posterior wall of the bladder protruding to pelvic cavity: 25 mm × 26 mm × 16 mm, with punctate color blood flow. Weak echo area was seen on the left side of pelvic cavity: 23 mm × 21 mm × 23 mm, with colored blood flow in the margin. PET-CT: ovarian postoperative change; solid and cystic mass and multiple nodules on the right side of pelvic cavity, with partially increased FDG uptake; and metastasis were considered. Postoperative pathological result: the stump of greater omentum, bladder apex mass, the mass of the anterior wall of sigmoid colon, and the mass of rectouterine pouch, consistent with recurrence of ovarian granulosa cell tumor in correlation with medical history.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Horta M, Cunha TM. Sex cord-stromal tumors of the ovary: a comprehensive review and update for radiologists. Diagn Interv Radiol. 2015;21(4):277–86.
Shaaban AM. Diagnostic imaging: Gynecology. 2015
Matsuki M, Numoto I, Suzuki A, Hamakawa T, Matsukubo Y, Tsurusaki M, et al. Magnetic resonance imaging of recurrent adult granulosa cell tumor of the ovary: a retrospective analysis of 11 cases. J Comput Assist Tomogr. 2020;44(6):887–92.
Jung SE, Rha SE, Lee JM, Park SY, Oh SN, Cho KS, et al. CT and MRI findings of sex cord-stromal tumor of the ovary. Am J Roentgenol. 2005;185(1):207–15.
Tanaka YO, Tsunoda H, Kitagawa Y, Ueno T, Yoshikawa H, Saida Y. Functioning ovarian tumors: direct and indirect findings at MR imaging. Radiographics. 2004;24(Suppl 1):147–66.
Rha SE, Oh SN, Jung SE, Lee YJ, Lee AW, Byun JY. Recurrent ovarian granulosa cell tumors: clinical and imaging features. Abdom Imaging. 2008;33(1):119–25.
Zhao S, Li H, Qiang J, Wang D, Fan H. The value of MRI for differentiating benign from malignant sex cord-stromal tumors of the ovary: emphasis on diffusion-weighted MR imaging. J Ovarian Res. 2018;11(1):73.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Zhao, S. (2023). Recurrent Ovarian Granulosa Cell Tumor. In: Zhang, G. (eds) MRI of Gynaecological Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-3644-1_26
Download citation
DOI: https://doi.org/10.1007/978-981-99-3644-1_26
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-99-3643-4
Online ISBN: 978-981-99-3644-1
eBook Packages: MedicineMedicine (R0)