title: Pulmonary multiple metastases of ovarian granulosa cell tumor 15 years after initial diagnosis.
abstract: We report a case of multiple pulmonary metastases occurring 15 years after an ovarian granulosa cell tumor was initially diagnosed. A 62-year-old woman undergoing left salpingo-oophorectomy for a granulosa cell tumor of the left ovary 15 years earlier presented with abnormal chest shadows. Computed tomography of the chest confirmed the presence of 3 well-defined nodular lesions, and Computed tomography of the abdomen and pelvis revealed a 3.5 x 2.5 cm partially solid, cystic pelvic mass. Left thoracotomy was conducted and tumors diagnosed a pulmonary metastases of a granulosa cell tumor. The pelvic mass was resected and infracolic omentectomy then conducted with total hysterectomy and right salpingo-oophorectomy including the adherent rectal segment. The pelvic mass proved to be a granulosa cell tumor. Adjuvant combination chemotherapy was started every 3 weeks and the woman has remained disease-free for 9 months.
authors.affiliation: Department of Chest Surgery, Tokyo Metropolitan Fuchu Hospital, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Sasano
authors.forename: H
authors.initials: H
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Otsuka
authors.forename: Y
authors.initials: Y
authors.lastname: Imura
authors.forename: N
authors.initials: N
authors.lastname: Nishii
authors.forename: S
authors.initials: S
authors.lastname: Nitta
mesh_terms: D005260:Female; D006106:Granulosa Cell Tumor / Q000473:pathology* / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D013997:Time Factors