title: [Peripheral precocious puberty caused by a juvenile granulosa cell ovarian tumor, with iso and heterosexual manifestations in a six years old girl].
abstract: A six years old girl consulted due to mammary development. On physical examination, clitoris enlargement and a tumor localized in the abdominal-pelvic region were observed. Hormonal study disclosed elevated testosterone and estradiol levels. On exploratory laparotomy, a right ovarian tumor was observed and a right salpingooophorectomy was performed. The contemporary biopsy informed a disgerminoma, leading to a surgical staging of the tumor. The definitive pathological diagnosis was a juvenile granular cell tumor, limited to the ovary. In the postoperative period, estradiol and testosterone levels returned to normal values and the pseudopuberty reverted. The patient did not receive adjuvant treatment and after three years of follow up, there is no evidence of tumor recidivism.
authors.affiliation: Departamentos de Obstetricia y Ginecología, Anatomía Patológica y de Pediatría, Escuela de Medicina Pontificia Universidad Católica de Chile.
authors.forename: Carolina
authors.initials: C
authors.lastname: Schulin-Zeuthen
authors.forename: Masami
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Yumay
authors.initials: Y
authors.lastname: Pires
authors.forename: David
authors.initials: D
authors.lastname: Mayerson
authors.forename: Andreina
authors.initials: A
authors.lastname: Cattani
mesh_terms: D002648:Child; D005260:Female; D006106:Granulosa Cell Tumor / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011629:Puberty, Precocious / Q000209:etiology* / Q000473:pathology / Q000601:surgery