Title: Painful Torsion Reveals A Rare Ovarian Tumor: A Case Report
Authors: Roughaya Teyib Sidi Ebatt; Ibtissam bensrhir , Hounaida Mahfoud,Amina Lakhedar,Najia Zeraidi,Aziz Baydada
Volume: 8
Issue: 8
Pages: 68-73
Publication Date: 2024/08/28
Abstract:
: Introduction: Granulosa cell tumors account for 2-3 % of all ovarian tumors. They originate from the cells of the sex cords and stroma of the ovary. They are characterized by a slow natural history, and a tendency to recur long after initial diagnosis. Case presentation: We report the case of a 14-year-old girl who presented with acute pelvic pain due to an abdominopelvic mass. Surgical exploration revealed a sizable abdominal mass originating from the right ovary. Histological examination and immunohistochemistry staining confirmed the diagnosis of a juvenile granulosa cell tumor. Discussion: The diagnosis, initially suspected through clinical examination, relies on ultrasound findings indicating a sizable ovarian mass, contributing to pelvic discomfort. It is confirmed during the initial surgical intervention (laparotomy). Surgery is the primary treatment; it consists of the excision of the tumor and must attempt to preserve reproductive function. Conclusion: Granulosa cell tumors are rare ovarian tumors, yet their diagnosis should be considered in the presence of any ovarian tumor in children, with confirmation through histopathological examination. Treatment typically entails psurgery, and the prognosis is generally favorable.