Radiology Case Reports (Sep 2021)

Coincidence of juvenile granulosa cell tumor and serous cystadenoma in a pediatric patient: Case report and literature review

  • Le Anh Viet, MD,
  • Hoang-Thi Kim Khuyen, MD,
  • Dang Quang Hung, MD,
  • Le Hong Chien, MD,
  • Hoang-Van Lan Duc, MD,
  • Nguyen-Thi Mai Anh, MD,
  • Nguyen Hong Hai, MD,
  • Luu-Thi Bich Ngoc, MD,
  • Nguyen Minh Duc, MD,MSc

Journal volume & issue
Vol. 16, no. 9
pp. 2370 – 2375

Abstract

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Juvenile granulosa cell tumor (GCT) is a rare ovarian tumor in children, presenting with a multiloculated cystic pattern and irregular wall-thickening on imaging and serous cystadenoma (SCA) is also another rare benign cystic ovarian tumor in children. The appearance of two uncommon types of ovarian tumors on both sides in children is extremely rare. We report the case of a 4-year-old female presenting with symptoms of precocious puberty and diagnosed with juvenile GCT on the left ovary after surgical resection. However, during follow-up 1 year after GCT resection, she presented with another multiloculated cystic mass in the right ovary, and diagnosed as SCA after surgical resection and histopathologic evaluations. The appearance of cystic ovarian tumor after primarily GCT resection need to differentiate between the recurrence of the primarily GCT and other cystic ovarian tumors although it is very uncommon. Furthermore, the imaging features played a key role in the differential diagnosis between benign and malignant ovarian tumors.

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