Hamzaoğlu Canbolat Kübra, Biçer Elifnur, İlvan Şennur, Beşe Tugan, Çepni İsmail, Demirkıran Fuat
Department of Obstetrics and Gynecology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Pathology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Ginekol Pol. 2022;93(10):787-792. doi: 10.5603/GP.a2022.0107.
The aim of this study is to share of the 20-year experience of a tertiary center about juvenile granulosa cell tumor (JGCT) and describe clinic manifestations, treatment, and outcome of patients who diagnosed JGCT.
Five patients who diagnosed juvenile granulosa cell tumor between 2000 and 2020 were included in the study. The demographics, clinical findings and outcomes were retrospectively evaluated. Of the 5 patients in our study, one was in the premenarcheal girl. The common complaint in all of our patients was abdominal swelling. In preoperative imaging methods, all patients had unilateral adnexal mass and no signs in favor of metastasis. All patients were staged according to FIGO classification for ovarian tumors; 3 of patients had stage IA disease, one of patients had stage IC1 and one of patients had stage IC2. All patients underwent different surgecal procedures which is appropriate for their clinical manifestations. In addition to surgery 2 patients received adjuvant chemotherapy.
The median follow-up period of the patients was 60 mounts and recurrence was observed in two patients who were reoperated. We have no patients who died due to this disease.
Possible diagnosis of juvenile granulosa cell tumor should be kept in mind in a patient of young age with unilateral adnexal mass with benign features.
本研究旨在分享一家三级医疗中心20年的青少年颗粒细胞瘤(JGCT)诊疗经验,并描述诊断为JGCT的患者的临床表现、治疗及预后情况。
本研究纳入了2000年至2020年间诊断为青少年颗粒细胞瘤的5例患者。对其人口统计学资料、临床发现及预后进行回顾性评估。在我们研究的5例患者中,1例为月经初潮前女孩。所有患者的常见主诉均为腹部肿胀。在术前影像学检查中,所有患者均有单侧附件包块,且无转移迹象。所有患者均根据卵巢肿瘤的FIGO分类进行分期;3例患者为IA期疾病,1例患者为IC1期,1例患者为IC2期。所有患者均根据其临床表现接受了不同的手术治疗。除手术外,2例患者接受了辅助化疗。
患者的中位随访期为60个月,2例再次手术的患者出现复发。我们没有患者因该病死亡。
对于年龄较小、具有良性特征的单侧附件包块患者,应考虑青少年颗粒细胞瘤的可能诊断。