Department of Gynecological Oncology, Dharamshila Narayana Superspeciality Hospital, India
Commentary Article
A Rare Ovarian Tumour Presenting as a Pathologist's Dilemma and a Surgeon's Nightmare
Author(s): Satinder Kaur*, Megha Nandwani, Hemlata Garg and Shilpa Jamwal
Gynandroblastoma with juvenile Granulosa cell and Sertoli Leydig cell as components is an extremely rare tumor of sex-cord stromal variety. It’s occurrence as a recurrent poorly differentiated Sertoli Leydig cell tumor with heterologous rhabdomyosarcoma component is even a rarer event. A 14 years old girl presented to us in our outpatient department with complaints of a pelvic mass and masculinizing symptoms. She underwent primary cytoreductive surgery at our hospital. The histopathology of the ovarian mass showed both juvenile granulosa cell and Sertoli Leydig differentiation and hence diagnosed as gynandroblastoma. She was given adjuvant chemotherapy and was on regular follow up. The patient developed first recurrence after a disease free interval of 23 months, with an abdominopelvic mass. She underwent secondary cytoreductive surgery for the same. The second histopathology re.. View More»