Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature

The differential diagnosis for precocious puberty in a young female includes peripheral causes. This case report documents a rare cause of isosexual precocious puberty, a juvenile granulosa cell tumor of the ovary-and a brief literature review. A 7-year-old girl presented with rapid onset of puberta...

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Main Authors: Nisha Nigil Haroon, Gaurav Agarwal, Rakesh Pandey, Preeti Dabadghao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=1;spage=157;epage=159;aulast=Haroon
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author Nisha Nigil Haroon
Gaurav Agarwal
Rakesh Pandey
Preeti Dabadghao
author_facet Nisha Nigil Haroon
Gaurav Agarwal
Rakesh Pandey
Preeti Dabadghao
author_sort Nisha Nigil Haroon
collection DOAJ
description The differential diagnosis for precocious puberty in a young female includes peripheral causes. This case report documents a rare cause of isosexual precocious puberty, a juvenile granulosa cell tumor of the ovary-and a brief literature review. A 7-year-old girl presented with rapid onset of pubertal development and elevated estradiol levels. Abdominal ultrasound revealed a mass in the right adnexa. Other causes of precocious puberty were excluded. Elective surgery was planned, but the patient presented to the emergency room with torsion of ovary. She underwent an exploratory laparotomy for tumor resection and right salpingo oophorectomy. Pathology reported a juvenile granulosa cell tumor of the ovary. Postoperatively, she experienced a cessation of vaginal bleeding and estradiol levels normalized. Early stage disease has good prognosis. Adjuvant chemotherapy is not indicated in this setting.
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spelling doaj.art-a4c1f4496fa24bb8aaa90d43f7570c992022-12-22T02:48:37ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002013-01-0117115715910.4103/2230-8210.107870Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literatureNisha Nigil HaroonGaurav AgarwalRakesh PandeyPreeti DabadghaoThe differential diagnosis for precocious puberty in a young female includes peripheral causes. This case report documents a rare cause of isosexual precocious puberty, a juvenile granulosa cell tumor of the ovary-and a brief literature review. A 7-year-old girl presented with rapid onset of pubertal development and elevated estradiol levels. Abdominal ultrasound revealed a mass in the right adnexa. Other causes of precocious puberty were excluded. Elective surgery was planned, but the patient presented to the emergency room with torsion of ovary. She underwent an exploratory laparotomy for tumor resection and right salpingo oophorectomy. Pathology reported a juvenile granulosa cell tumor of the ovary. Postoperatively, she experienced a cessation of vaginal bleeding and estradiol levels normalized. Early stage disease has good prognosis. Adjuvant chemotherapy is not indicated in this setting.http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=1;spage=157;epage=159;aulast=HaroonJuvenile granulosa cell tumorprecocious pubertyovarian tumourpaediatric endocrinology
spellingShingle Nisha Nigil Haroon
Gaurav Agarwal
Rakesh Pandey
Preeti Dabadghao
Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
Indian Journal of Endocrinology and Metabolism
Juvenile granulosa cell tumor
precocious puberty
ovarian tumour
paediatric endocrinology
title Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
title_full Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
title_fullStr Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
title_full_unstemmed Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
title_short Juvenile granulosa cell tumor presenting as isosexual precocious puberty: A case report and review of literature
title_sort juvenile granulosa cell tumor presenting as isosexual precocious puberty a case report and review of literature
topic Juvenile granulosa cell tumor
precocious puberty
ovarian tumour
paediatric endocrinology
url http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=1;spage=157;epage=159;aulast=Haroon
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AT gauravagarwal juvenilegranulosacelltumorpresentingasisosexualprecociouspubertyacasereportandreviewofliterature
AT rakeshpandey juvenilegranulosacelltumorpresentingasisosexualprecociouspubertyacasereportandreviewofliterature
AT preetidabadghao juvenilegranulosacelltumorpresentingasisosexualprecociouspubertyacasereportandreviewofliterature