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Prog. obstet. ginecol. (Ed. impr.) ; 54(4): 188-192, abr. 2011. tab, ilus
Article in Spanish | IBECS | ID: ibc-142831

ABSTRACT

Presentamos el caso de una mujer de 79 años, con antecedentes de un supuesto fibroma ovárico, que comienza con un cuadro de dolor en fosa ilíaca izquierda y leucocitosis, siendo diagnosticada de diverticulitis. Durante el estudio, incidentalmente se descubre una masa en la pared abdominal anterior que resultó ser una recidiva de un tumor de células de la granulosa. Realizamos una revisión bibliográfica de esta patología centrándonos, fundamentalmente, en sus aspectos clínicos y terapéuticos. Se trata de una neoplasia muy poco frecuente, sobre la que hay pocos estudios, que se caracteriza por su larga historia natural y su tendencia a recurrir años después del diagnóstico (AU)


We present the case of a 79-year-old woman who was misdiagnosed with an ovarian fibroma 5 years previously. The patient presented with pain in the right iliac fossa with leukocytosis and was diagnosed with diverticulitis. A mass was incidentally found in the anterior abdominal wall, which was later confirmed as metastasis from a granulosa cell tumor of the ovary. We provide a literature review, focussing on the clinical findings and treatment of this tumor. Few reports have been published of this uncommon entity, characterized by a long natural history and tendency to recur years after the initial diagnosis (AU)


Subject(s)
Female , Humans , Pregnancy , Ovarian Neoplasms/genetics , Ovarian Neoplasms/metabolism , Granulosa Cells/cytology , Granulosa Cells/pathology , Diverticulitis/pathology , Uterine Hemorrhage/blood , Breast Neoplasms/drug therapy , Breast Neoplasms/radiotherapy , Endometrial Hyperplasia/genetics , Endometrial Hyperplasia/pathology , Ovarian Neoplasms/complications , Ovarian Neoplasms/pathology , Granulosa Cells/classification , Granulosa Cells/physiology , Diverticulitis/metabolism , Uterine Hemorrhage/pathology , Breast Neoplasms/therapy , Endometrial Hyperplasia/complications , Endometrial Hyperplasia/diagnosis , Review Literature as Topic
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