JUVENILE GRANULOSA CELL TUMOR OF OVARY

Juvenile granulosa cell tumors of ovary are rare form of neoplasm that makes up less than 5 of ovarian tumors in childhood and adults.90 are diagnosed in stage 1 with favorable prognosis. A 23yrs P1L1 post lscs patient admitted with complaints of one year amenorrhea followed by continuous bleeding per vaginum for 1 month and diagnosed to have left complex ovarian cyst. Laparotomy proceeded and in view of young age and fertility requirements unilateral left ovariectomy was performed. Histopathology report was juvenile granulosa cell tumor of ovary grade 2. Immunohistochemistry was strongly positive for Inhibin and other tumor markers were normal and patient was on follow up. She conceived 5months after surgery and delivered an alive girl baby by caesarean section. At the time of cesarean section the residual ovary was normal, omental biopsy taken and found to be normal and patient was on follow up. After one year patient developed a left ovarian cyst. Total abdominal hysterectomy ,left cystectomy with right salphingo oophorectomy done.Histopathology report was normal.