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Juvenile granulosa cell tumor diagnosed in 6-month-old infant with precocious puberty
Rebecca Hansen1, Austin Lewis2, Christopher Sullivan3
1Department of Radiology, Medical University of South Carolina, Charleston, SC, USA.
Insights
Juvenile granulosa cell tumors are rare ovarian tumors in children, often presenting with precocious puberty. This case highlights a 6-month-old diagnosed with this condition, emphasizing imaging features.
Area of Science:
- Pediatric Oncology
- Gynecologic Pathology
- Diagnostic Imaging
Background:
- Juvenile granulosa cell tumor (JGCT) is a rare ovarian neoplasm predominantly affecting infants and children.
- JGCT can manifest with signs of precocious puberty, posing diagnostic challenges in young patients.
Observation:
- A 6-month-old female presented with clinical signs of precocious puberty.
- Abdominopelvic imaging demonstrated a large, complex ovarian mass with cystic and solid components, internal enhancement, and restricted diffusion on MRI.
Findings:
- Surgical exploration confirmed the mass originated from the left ovary.
- Histopathological examination definitively diagnosed the ovarian mass as a juvenile granulosa cell tumor.
Implications:
- This case underscores the importance of considering JGCT in the differential diagnosis of precocious puberty in infants.
- Understanding the characteristic imaging features of JGCT is crucial for accurate preoperative assessment and surgical planning.
- Further literature review aids in characterizing this rare pediatric tumor.
Abstract:
Juvenile granulosa cell tumor is a rare tumor diagnosed in children, which can present with precocious puberty. We have reported a case of a 6-month-old female patient who presented with precocious puberty. Abdominopelvic imaging revealed a large mixed cystic and solid mass, with internal solid enhancement, and restricted diffusion. At surgery, mass was confirmed to arise from the left ovary, and histopathology confirmed juvenile granulosa cell tumor. We provide a literature review of juvenile granulosa cell tumor and discuss imaging characteristics of this diagnosis.
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