Agarwal R, Radhakrishnan G, Radhika AG, Jain J, Sharma S, Srivastava H. Pregnancy concomitant with metastatic adult granulosa cell tumor.
Arch Gynecol Obstet 2011;
284:743-7. [PMID:
21706344 DOI:
10.1007/s00404-011-1958-y]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2011] [Accepted: 06/15/2011] [Indexed: 11/25/2022]
Abstract
INTRODUCTION
Metastatic adult granulosa cell tumor of the ovary is rarely encountered with pregnancy.
CASE REPORT AND RESULTS
Primigravida (26 years) presented at 20 weeks of gestation with acute abdomen and clinical evidence of supraclavicular lymphadenopathy and ascites. She was diagnosed of adult granulosa cell tumor (AGCT) of the right ovary following right salpingoophrectomy done 1 month prior to conception. Fine needle aspiration cytology of supraclavicular lymph node, revealed it to be a metastatic AGCT. Chemotherapy was given antepartum and she delivered a healthy preterm baby at 30 weeks. Subsequently, she had optimal debulking surgery following 6 cycles of cisplatin-based chemotherapy. Baby at 10 months of age was with normal milestones.
CONCLUSIONS
The case is an unusual presentation of metastatic adult granulosa cell tumor at child bearing age. Although rapidly progressing, successful prolongation of pregnancy till 30 weeks of gestation was possible with the judicious use of chemotherapy. Fetal and maternal outcomes were favorable.
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