Granulosa-cell tumor after ovarian stimulation: A case report

Abstract Background: Ovarian superovulation and increased follicle-stimulating hormone concentration for infertility treatment may be the risk factors of developed granulosa-cell tumor. The aim of this report is to introduce a case of granulosa-cell tumor which was discovered after ovarian stimulati...

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Main Authors: Zohreh Yousefi (Author), Hekmat Khalilifar (Author), Amir Hosein Jafarian (Author), Behrouz Davachi (Author), Leila Mousavi Seresh (Author), Nooshin Babapour (Author), Laya Shirinzadeh (Author), Mina Baradaran (Author)
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Published: Shahid Sadoughi University of Medical Sciences, 2018-06-01T00:00:00Z.
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001 doaj_3d7fcacf8c744e82b9d7ab0919a117e5
042 |a dc 
100 1 0 |a Zohreh Yousefi  |e author 
700 1 0 |a Hekmat Khalilifar  |e author 
700 1 0 |a Amir Hosein Jafarian  |e author 
700 1 0 |a Behrouz Davachi  |e author 
700 1 0 |a Leila Mousavi Seresh  |e author 
700 1 0 |a Nooshin Babapour  |e author 
700 1 0 |a Laya Shirinzadeh  |e author 
700 1 0 |a Mina Baradaran  |e author 
245 0 0 |a Granulosa-cell tumor after ovarian stimulation: A case report 
260 |b Shahid Sadoughi University of Medical Sciences,   |c 2018-06-01T00:00:00Z. 
500 |a 2476-4108 
500 |a 2476-3772 
520 |a Abstract Background: Ovarian superovulation and increased follicle-stimulating hormone concentration for infertility treatment may be the risk factors of developed granulosa-cell tumor. The aim of this report is to introduce a case of granulosa-cell tumor which was discovered after ovarian stimulation. Case: A 31-yr-old woman with clinical presentation of massive abdominal distention was referred to the gynecology and oncology department of an academic hospital, Mashhad University of Medical Sciences in Aug 2017. She had the history of secondary infertility and was undergoing In Vitro Fertilization protocol and ovarian stimulation, but, the cycle was canceled. The patient suffered from gradual abdominal distention one month after the end of IVF procedure despite pregnancy failure. 2-3 months after management of the ovarian hyperstimulation syndrome, investigation revealed large ovarian mass and increased tumor marker inhibin. Exploratory laparotomy was performed and revealed stage III ovarian cancer. The final pathology report indicated juvenile granulosa cell tumor. So, optimal surgical staging and cytoreductive surgery without fertility preserving were perfumed. Chemotherapy was recommended due to the advanced stage of ovarian cancer. Unfortunately, she experienced metastatic diseases in pelvic and abdomen in less than six months; and currently is receiving the second and third line chemotherapy. Conclusion: Persistent ovarian enlargement or ascites during or after infertility treatment should be carefully considered and managed 
546 |a EN 
690 |a Ovarian stimulation 
690 |a  Granulosa-cell tumor 
690 |a  Ovarian cancer 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
690 |a Reproduction 
690 |a QH471-489 
655 7 |a article  |2 local 
786 0 |n International Journal of Reproductive BioMedicine, Vol 16, Iss 6, Pp 417-420 (2018) 
787 0 |n http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-588&slc_lang=en&sid=1 
787 0 |n https://doaj.org/toc/2476-4108 
787 0 |n https://doaj.org/toc/2476-3772 
856 4 1 |u https://doaj.org/article/3d7fcacf8c744e82b9d7ab0919a117e5  |z Connect to this object online.