Metachronous Contralateral Cystadenoma After Ovariectomy for Juvenile Granulosa Cell Tumor in a Young Girl: An Uncommon Association

J Pediatr Adolesc Gynecol. 2021 Feb;34(1):103-105. doi: 10.1016/j.jpag.2020.07.016. Epub 2020 Aug 1.

Abstract

Background: A unique Case of metachronous contralateral cystadenoma diagnosed 2 years after a juvenile granulosa cell tumor (JGCT) of the ovary is reported.

Case: One year after a left ovariectomy for JGCT, a 7 year-old girl was found to have, during her standard ultrasound follow-up, a 18-mm cyst in the right ovary, which was initially considered to be a follicular cyst. Six months later, the mass appeared to be increased and characterized by multivacuolar features, and inhibin A was mildly elevated. A laparoscopic-assisted cystectomy was performed, sparing healthy ovarian tissue around. The pathology report showed a benign mucinous cystadenoma.

Keywords: Juvenile granulosa cell tumor; Laparoscopy; Metachronous ovarian tumors; Mucinous cystadenoma; Ovarian sparing surgery.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Cystadenoma, Mucinous / diagnosis
  • Cystadenoma, Mucinous / pathology*
  • Cystadenoma, Mucinous / surgery
  • Female
  • Granulosa Cell Tumor / pathology
  • Granulosa Cell Tumor / surgery
  • Humans
  • Laparoscopy
  • Ovarian Neoplasms / pathology
  • Ovarian Neoplasms / surgery
  • Ovariectomy