Granulosa cell tumor of the ovary associated pregnancy – a rare case report and review of the literature

Abstract

Introduction: Approximately 24 percent of the varian tumors are incidentally discovered at caesarean section, in spite of the routine prenatal ultrasound. The possibility of borderline tumor or cancer should be considered although the existence of varian malignancy is rare. Granulosa cell tumors (GCTs) are extremely rare tumors and are divided into 2 types: adult (AGCT) and juvenile (JGCT). The incidence of ovarian carcinoma diagnosed during pregnancy varies about 0.0179 to 0.11/1000 pregnancies. The association between GCT and pregnancy is a rare condition with therapeutic challenges consisting of the pregnancy and the fertility outcome in one hand and oncological results in the other. We present a case report of an GCT discovered fortuitously during cesarean section. We report the management of this tumor and the way to monitor.

Conclusion: Treatment option and review of the literature related GCT are discussed.