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Cytologic features of ascitic metastasis from a granulosa cell tumor

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Author(s)
Ji Young ParkHye Won LeeIlseon HwangHye Ra JungSun Young KwonMi Sun ChoeYu Na KangSang Pyo KimKun Young KwonSang Sook Lee
Keimyung Author(s)
Hwang, Il SeonJung, Hye RaKwon, Sun YoungChoe, Mi SunKang, Yu NaKim, Sang PyoKwon, Kun YoungLee, Sang Sook
Department
Dept. of Pathology (병리학)
Journal Title
Keimyung Medical Journal
Issued Date
2009
Volume
28
Issue
2
Keyword
AsciteAspirationCytologyGranulosa cell tumorOvary
Abstract
Previous history of the patient is sometimes very helpful in cytologic diagnosis. We report a case of peritoneal metastasis of an adult-type granulosa cell tumor (AGCT) of the ovary, forming ascitic fluid. The patient was a 58-year-old woman who was diagnosed with a granulosa cell tumor of the ovary 13 years previously. She admitted to the hospital because of 3 days of lower abdominal pain. Several masses were in the lower abdominal cavity as well as culdesac, measuring 7.0 cm in maximum length in computerized tomography (CT) scan. Aspiration cytology of ascitic fluid demonstrated irregular sheets, loose aggregates or tight clusters of small,
relatively uniform neoplastic cells with round or oval nuclei and scant cytoplasm. Nuclear grooves
and indentations were noted in a small number of cells. Tumor cells arranged in follicular pattern
mimicking Call-Exner bodies were identified. The cytopathologic diagnosis of the ascitic fluid was
made to be a metastatic granulosa cell tumor. Although the granulosa cell tumor is the most
common malignant sexcord stromal tumor, practically, they comprise only 2-3% of all ovarian tumors. Because of rarity of the disease and presentation in the metastatic sites, the diagnosis of AGCT may not be easy. An understanding the quiet characteristic cytological features, such as monotonous cells, microfollicular pattern, and nuclear grooving, is necessary to avoid false diagnoses of a recurrent neoplastic lesion by aspiration cytology.
Keimyung Author(s)(Kor)
황일선
정혜라
권선영
최미선
강유나
김상표
권건영
이상숙
Publisher
Keimyung University School of Medicine
Citation
Ji Young Park et al. (2009). Cytologic features of ascitic metastasis from a granulosa cell tumor. Keimyung Medical Journal, 28(2), 297–302.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15458
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2009
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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