گزارش يك مورد تومور سلول گرانولوزاي تخمدان با توليد آندروژن و علايم مردنمايي

A case with androgenic granulosa cell tumor of the ovary

This article reports the cliniopathologic findings of an unusual case of granulosa cell tumor with androgenic manifestations in a 16-year-old girl. The patient presented with a 2-year history of amenorrhea. Physical examination revealed an increase in facial, chest and abdominal hair with breast atrophy and horseness of voice. Pelvic ultrasound demonstrated a 87x85x66mm left adnexal cyst. Plasma testosterone and 17-hydroxy progesterone levels were elevated. She underwent an exploratory laparotomy in which a left ovarian tumor, 8cm in diameter was found and extracted. Microscopic examination of the tumor revealed the typical features of a granulosa cell tumor of the ovary. Two months after surgery, plasma testosterone and 17-hydroxy progesterone levels were within the normal range and the patient had a regular menstrual cycle. To our knowledge, this represents the first case of a granulosa cell tumor with androgenic manifestations reported in Iranian literature.