Juvenile granulosa cell tumor of the ovary associated with tuberous sclerosis

• Published in: Gynecologic oncology 2006-07, Vol.102 (1), p.118-120
• Main Authors: Guo, Hongyan, Keefe, Kristin A., Kohler, Mathew F., Chan, John K.
• Format: Article
• Language: English
• Subjects: Child; Female; Granulosa Cell Tumor - complications; Granulosa Cell Tumor - drug therapy; Granulosa Cell Tumor - pathology; Granulosa Cell Tumor - surgery; Humans; Juvenile granulosa cell tumor; Ovarian Neoplasms - complications; Ovarian Neoplasms - drug therapy; Ovarian Neoplasms - pathology; Ovarian Neoplasms - surgery; Tuberous sclerosis; Tuberous Sclerosis - complications; Tuberous Sclerosis - drug therapy; Tuberous Sclerosis - pathology; Tuberous Sclerosis - surgery
• ISSN: 0090-8258; 1095-6859
• DOI: 10.1016/j.ygyno.2006.01.023

Tuberous sclerosis is a neurocutaneous syndrome characterized by benign tumors that can affect many organs. Juvenile granulosa cell tumors of the ovary are rare neoplasms that typically occur in the first three decades of life and have excellent prognosis for early-staged disease. We report the first case of an 8-year-old white female with tuberous sclerosis and juvenile granulosa cell tumor of the ovary. She presented with a 20 × 22 cm pelvic mass and received a right salpingo-oophorectomy. Three months later, she recurred and underwent a left salpingo-oophorectomy, lymphadenectomy, and omentectomy followed by four cycles of Bleomycin, Etoposide, and Cisplatin chemotherapy. She is currently free of disease 8 years after her recurrence. Treatment options and a review of the literature pertaining to juvenile ovarian granulosa cell tumors and tuberous sclerosis are discussed.