IMR Press / EJGO / Volume 31 / Issue 2 / pii/1630984577106-744793629

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Usefulness of routine intraoperative staging of suspicious adnexal tumours: illustration by two cases of adult granulosa cell tumour
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1 Chirurgie Gynécologique et Cancérologique
2 Anatomopathologie, Hôpital Européen Georges Pompidou, AP-HP, Paris Faculté de Médecine, Université Paris Descartes, Paris (France)
Eur. J. Gynaecol. Oncol. 2010, 31(2), 206–208;
Published: 10 April 2010

Granulosa cell tumours (GCTs) account for less than 3% of all ovarian malignancies but are among the most common sex cordstromal tumours. They may develop at any age. Symptoms related to oestrogen production by the tumour may occur. Because GCTs are uncommon and cannot be diagnosed preoperatively, their management is challenging. Surgery with salpingo-oophorectomy and painstaking staging is mandatory. Adjuvant chemotherapy is required in some patients. We report two cases of adult GCTs that illustrate the usefulness of extensive abdominal exploration in every patient with a suspicious ovarian mass, to obviate the need for a second staging procedure. With this strategy, the prognosis is excellent, although the possibility of late recurrences requires prolonged follow-up.
Gonadal tissue
Sex cord-gonadal stromal tumours
Granulosa cell tumour
Conservative treatment
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