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.

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