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Puberte prekoksa neden olan overin nadir bir tümörü: Juvenil granüloza hücreli tümör

Yıl 2023, Cilt: 3 Sayı: 2, 56 - 59, 30.12.2023

Öz

Granüloza hücreli tümörleri içeren over seks kord stromal tümörleri, özellikle çocuklarda nadir görülen tümörlerdir. Juvenil ve yetişkin tip olarak iki gruba ayrılırlar. Juvenil granüloza hücreli tümörler (JGHT) tüm granüloza hücreli tümörlerin %5’ini içerir. Puberte prekoks, hormonal değişiklikler ile ilişkili bu tümörlerin en sık görülen bulgusudur. Vakaların çoğu evre I olarak sınıflandırılır ve tedavinin temelini cerrahi oluşturur. Bu yazıda, 3 aydır meme büyümesi ve karın şişliği şikâyeti olan, 7 yaşındaki bir kız çocuğunda görülen ve ileri evre olan nadir bir JGHT olgusunu sunulmuştur.

Etik Beyan

olgunun ebeveynlerinden sözlü ve yazılı onam alınmıştır.

Destekleyen Kurum

yok

Kaynakça

  • Kao CS, Cornejo KM, Ulbright TM, Young RH. Juvenile granulosa cell tumors of the testis: a clinicopathologic study of 70 cases with emphasis on its wide morphologic spectrum. Am J Surg Pathol. 2015;39:1159–69.
  • Shim SH, Lee SJ, Kim DY, Kim J, Kim SN, Kang SB et al. A Long-term follow-up study of 91 cases with ovarian granulosa cell tumors. Anticancer Res. 2014;34:1001-10.
  • Frazier AL, Olson TA, Schneider DT, Amatruda JF. Germ cell tumors. In Pizzo and Poplack’s Pediatric Oncology, 8th ed. (Eds Blaney SM, Helman LJ, Adamson PC): Philadelphia: Wolters Kluwer, 2021;793-810.
  • Berek JS, Renz M, Kehoe S, Kumar L, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum: 2021 update. Int J Gynaecol Obstet. 2021;155:61-85.
  • Cushing B, Giller R, Cullen JW, Marina NM, Lauer SJ, Olson TA et al. Randomized comparison of combination chemotherapy with etoposide, bleomycin, and either high-dose or standard-dose cisplatin in children and adolescents with high-risk malignant germ cell tumors: a pediatric intergroup study--Pediatric Oncology Group 9049 and Children's Cancer Group 8882. J Clin Oncol. 2004;22:2691-700.
  • Schultz KA, Schneider DT, Pashankar F, Ross J, Frazier L. Management of ovarian and testicular sex cord-stromal tumors in children and adolescents. J Pediatr Hematol Oncol. 2012;34:55-63.
  • Cisternino M, Arrigo T, Pasquino AM, Tinelli C, Antoniazzi F, Beduschi L et al. Etiology and age incidence of precocious puberty in girls: a multicentric study. J Pediatr Endocrinol Metab. 2000;13:695–701.
  • Herman-Giddens M, Sandier A, Friedman N. Sexual precocity in girls. An association with sexual abuse? Am J Dis Child. 1988;142:431–3.
  • Pectasides D, Pectasides E, Psyrri A. Granulosa cell tumor of the ovary. Cancer Treat Rev. 2008;34:1-12.
  • Ye Y, Lv C, Xu S, Chen Y, Qian R, Wang P et al. Juvenile granulosa cell tumors of the ovary. Am J Clin Pathol. 2020;154:635-44.
  • Kottarathil VD, Antony MA, Nair IR, Pavithran K. Recent adces in granulosa cell tumor ovary: a review. Indian J Surg Oncol. 2013;4:37-47.
  • Li J, Bao R, Peng S, Zhang C. The molecular mechanism of ovarian granulosa cell tumors. J Ovarian Res. 2018;11:13.
  • Park H, Goodman CP, Raymond SL, Sundin A, Khan FA, Radulescu A. A 12-year-old girl with juvenile granulosa cell tumor of the ovary, presenting with adolescent hyperprolactinemia, galactorrhea, and amenorrhea. Am J Case Rep. 2023;24:e938249.
  • Gittleman AM, Price AP, Coren C, Akhtar M, Donovan V, Katz DS. Radiology-Pathology Conference: Juvenile granulosa cell tumor. Clin Imaging. 2003;27:221-4.
  • Barakizou H, Gannouni S, Kamoun T, Mehdi M, Amary F, Huma Z et al. Precocious pseudo-puberty in a two-year-old girl, presenting with bilateral ovarian enlargement and progressing to unilateral juvenile granulosa cell tumour. J Clin Res Pediatr Endocrinol. 2022;14:107-13.
  • De Sanctis V, Ahmed S, Soliman A, Alyafei F, Alaaraj N, Al Maadheed M et al. A rare case of ovarian juvenile granulosa cell tumor in an infant with isosexual pseudo puberty and a revision of literature. Acta Biomed. 2021;92:e2021319.
  • Hansen R, Lewis A, Sullivan C, Hirsig L. Juvenile granulosa cell tumor diagnosed in 6-month-old infant with precocious puberty. Radiol Case Rep. 2021;16:2609-13.
  • Auranen A, Sundström J, Ijäs J, Grénman S. Prognostic factors of ovarian granulosa cell tumor: a study of 35 patients and review of the literature. Int J Gynecol Cancer. 2007;17:1011-8.

A rare tumor of the ovary causing precocious puberty: Juvenile granulosa cell tumor

Yıl 2023, Cilt: 3 Sayı: 2, 56 - 59, 30.12.2023

Öz

Ovarian sex cord stromal tumors, including granulosa cell tumors, are rare tumors, especially in children. They are divided into two groups: juvenile and adult types. Juvenile granulosa cell tumors (JGCT) comprise 5% of all granulosa cell tumors. Precocious puberty is the most common finding of these tumors associated with hormonal changes. Most cases are classified as stage I and surgery forms the basis of the treatment. In this article, we present a rare case of advanced stage JGCT in a 7-year-old girl who had complaints of breast enlargement and abdominal swelling for 3 months.

Kaynakça

  • Kao CS, Cornejo KM, Ulbright TM, Young RH. Juvenile granulosa cell tumors of the testis: a clinicopathologic study of 70 cases with emphasis on its wide morphologic spectrum. Am J Surg Pathol. 2015;39:1159–69.
  • Shim SH, Lee SJ, Kim DY, Kim J, Kim SN, Kang SB et al. A Long-term follow-up study of 91 cases with ovarian granulosa cell tumors. Anticancer Res. 2014;34:1001-10.
  • Frazier AL, Olson TA, Schneider DT, Amatruda JF. Germ cell tumors. In Pizzo and Poplack’s Pediatric Oncology, 8th ed. (Eds Blaney SM, Helman LJ, Adamson PC): Philadelphia: Wolters Kluwer, 2021;793-810.
  • Berek JS, Renz M, Kehoe S, Kumar L, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum: 2021 update. Int J Gynaecol Obstet. 2021;155:61-85.
  • Cushing B, Giller R, Cullen JW, Marina NM, Lauer SJ, Olson TA et al. Randomized comparison of combination chemotherapy with etoposide, bleomycin, and either high-dose or standard-dose cisplatin in children and adolescents with high-risk malignant germ cell tumors: a pediatric intergroup study--Pediatric Oncology Group 9049 and Children's Cancer Group 8882. J Clin Oncol. 2004;22:2691-700.
  • Schultz KA, Schneider DT, Pashankar F, Ross J, Frazier L. Management of ovarian and testicular sex cord-stromal tumors in children and adolescents. J Pediatr Hematol Oncol. 2012;34:55-63.
  • Cisternino M, Arrigo T, Pasquino AM, Tinelli C, Antoniazzi F, Beduschi L et al. Etiology and age incidence of precocious puberty in girls: a multicentric study. J Pediatr Endocrinol Metab. 2000;13:695–701.
  • Herman-Giddens M, Sandier A, Friedman N. Sexual precocity in girls. An association with sexual abuse? Am J Dis Child. 1988;142:431–3.
  • Pectasides D, Pectasides E, Psyrri A. Granulosa cell tumor of the ovary. Cancer Treat Rev. 2008;34:1-12.
  • Ye Y, Lv C, Xu S, Chen Y, Qian R, Wang P et al. Juvenile granulosa cell tumors of the ovary. Am J Clin Pathol. 2020;154:635-44.
  • Kottarathil VD, Antony MA, Nair IR, Pavithran K. Recent adces in granulosa cell tumor ovary: a review. Indian J Surg Oncol. 2013;4:37-47.
  • Li J, Bao R, Peng S, Zhang C. The molecular mechanism of ovarian granulosa cell tumors. J Ovarian Res. 2018;11:13.
  • Park H, Goodman CP, Raymond SL, Sundin A, Khan FA, Radulescu A. A 12-year-old girl with juvenile granulosa cell tumor of the ovary, presenting with adolescent hyperprolactinemia, galactorrhea, and amenorrhea. Am J Case Rep. 2023;24:e938249.
  • Gittleman AM, Price AP, Coren C, Akhtar M, Donovan V, Katz DS. Radiology-Pathology Conference: Juvenile granulosa cell tumor. Clin Imaging. 2003;27:221-4.
  • Barakizou H, Gannouni S, Kamoun T, Mehdi M, Amary F, Huma Z et al. Precocious pseudo-puberty in a two-year-old girl, presenting with bilateral ovarian enlargement and progressing to unilateral juvenile granulosa cell tumour. J Clin Res Pediatr Endocrinol. 2022;14:107-13.
  • De Sanctis V, Ahmed S, Soliman A, Alyafei F, Alaaraj N, Al Maadheed M et al. A rare case of ovarian juvenile granulosa cell tumor in an infant with isosexual pseudo puberty and a revision of literature. Acta Biomed. 2021;92:e2021319.
  • Hansen R, Lewis A, Sullivan C, Hirsig L. Juvenile granulosa cell tumor diagnosed in 6-month-old infant with precocious puberty. Radiol Case Rep. 2021;16:2609-13.
  • Auranen A, Sundström J, Ijäs J, Grénman S. Prognostic factors of ovarian granulosa cell tumor: a study of 35 patients and review of the literature. Int J Gynecol Cancer. 2007;17:1011-8.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Çocuk Hematolojisi ve Onkolojisi
Bölüm Olgu Sunumu
Yazarlar

Başak Çolak 0000-0001-7884-8720

Ayşe Özkan 0000-0003-1181-8169

Yayımlanma Tarihi 30 Aralık 2023
Gönderilme Tarihi 24 Kasım 2023
Kabul Tarihi 8 Aralık 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 3 Sayı: 2

Kaynak Göster

AMA Çolak B, Özkan A. Puberte prekoksa neden olan overin nadir bir tümörü: Juvenil granüloza hücreli tümör. Çukurova Tıp Öğrenci Derg. Aralık 2023;3(2):56-59.