The patient with severe sideropenic anemia and giant solitary ovarian tumor

Ovarian tumors composed of granulosa cells represent 1-3% of all ovarian tumors. They are commonly estrogen secreting tumors. We present a case of a postmenopausal woman who presented with severe anemia, metrorrhagia, and a palpable tumor mass in her lower right abdomen. Subsequent diagnostic work-u...

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Bibliographic Details
Main Authors: Ivka Djaković, Nenad Babić, Tanja Leniček, Dražan Butorac
Format: Article
Language:English
Published: VBZ 2017-06-01
Series:Endocrine Oncology and Metabolism
Subjects:
Online Access:http://eom.hdeo.eu/wp-content/uploads/2017/07/vol3-iss2-5Djakovic.pdf
Description
Summary:Ovarian tumors composed of granulosa cells represent 1-3% of all ovarian tumors. They are commonly estrogen secreting tumors. We present a case of a postmenopausal woman who presented with severe anemia, metrorrhagia, and a palpable tumor mass in her lower right abdomen. Subsequent diagnostic work-up confirmed a gigantic granulosa-cell tumor of the right ovary. This case highlights that the presence of metrorrhagia in a postmenopausal women with an ovarian tumor should always raise the suspicion of a granulosa-cell tumor. Gonadotropins, estradiol, and inhibin B should be measured to establish the diagnosis preoperatively. This could potentially help in treatment decision-making and long-term follow-up.
ISSN:1849-8922
1849-9031