A case of granulosa cell tumor in the broad ligament of the uterus diagnosed after laparoscopic surgery

Junko Minato, Tomohisa Ugajin, Takahiro Minato, Tadashi Watanabe, Nobuo Yaegashi
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2016 · vol. 31(2) , pp. 450–454 · doi:10.5180/jsgoe.31.450 · W2397492077
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Abstract

We report a rare case of granulosa cell tumor in the broad ligament of the uterus which was diagnosed after laparoscopic surgery. The patient was a 29-year-old married woman, gravida 2, para 0. After visiting a previous hospital with a chief complaint of irregular menstruation, she was referred to our hospital for ovarian tumor diagnosis. Transvaginal ultrasonography showed a 5-cm tumor near the normal right ovary, and MRI also showed a mass containing cystic components and some solid elements located dorsal to the normal right ovary. Levels of the tumor markers CA19-9, CA125, and SCC were within their normal ranges. Based on these results, the patient underwent laparoscopic surgery for suspected right paraovarian tumor. A tumor growing in the right broad ligament was found, and laparoscopic resection of the right paraovarian tumor was performed. The histopathological examination showed an adult-type granulosa cell tumor. The patient has had no recurrence for 15 months since surgery.
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症例報告 腹腔鏡下手術後に診断された子宮広間膜由来の顆粒膜細胞腫の1例 2016 年 31 巻 2 号 p. 450-454 詳細 抄録 We report a rare case of granulosa cell tumor in the broad ligament of the uterus which was diagnosed after laparoscopic surgery. The patient was a 29-year-old married woman, gravida 2, para 0. After visiting a previous hospital with a chief complaint of irregular menstruation, she was referred to our hospital for ovarian tumor diagnosis. Transvaginal ultrasonography showed a 5-cm tumor near the normal right ovary, and MRI also showed a mass containing cystic components and some solid elements located dorsal to the normal right ovary. Levels of the tumor markers CA19-9, CA125, and SCC were within their normal ranges. Based on these results, the patient underwent laparoscopic surgery for suspected right paraovarian tumor. A tumor growing in the right broad ligament was found, and laparoscopic resection of the right paraovarian tumor was performed. The histopathological examination showed an adult-type granulosa cell tumor. The patient has had no recurrence for 15 months since surgery. © 2016 日本産科婦人科内視鏡学会

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