title: Clinical and pathological predictive factors in women with adult-type granulosa cell tumor of the ovary.
abstract: Granulosa cell tumor (GCT) is a rare neoplasm hallmarked by a very indolent course and late recurrences. Although numerous clinical and pathological parameters have been implicated as prognostic factors for GCT, their role remains controversial. We performed a retrospective study at our institution where we identified 48 patients with GCT from our tumor registry. Demographic and clinical course information was recorded from the medical record. Twenty of 48 formalin-fixed, paraffin-embedded blocks were retrieved from archived specimens. Pathological parameters such as nuclear atypia, mitotic count, Ki-67 index using immunohistochemistry, and quantitative DNA ploidy were performed. DNA aneuploidy by quantitative method was associated with patients' overall survival. The degree of nuclear atypia, mitotic count, Ki-67 index, and DNA aneuploidy was not predictive of tumor recurrence. Multi-institutional collaboration is imperative to create a comprehensive national database for investigation into ways that may better indicate prognosis in these patients.
authors.affiliation: Department of Gynecologic Oncology Surgery, Roswell Park Cancer Institute, Buffalo, New York 12463, USA.
authors.forename: Jeannine
authors.initials: J
authors.lastname: Villella
authors.forename: Francois R
authors.initials: FR
authors.lastname: Herrmann
authors.forename: Sadhana
authors.initials: S
authors.lastname: Kaul
authors.forename: Shashikant
authors.initials: S
authors.lastname: Lele
authors.forename: David
authors.initials: D
authors.lastname: Marchetti
authors.forename: Joan
authors.initials: J
authors.lastname: Natiella
authors.forename: Kunle
authors.initials: K
authors.lastname: Odunsi
authors.forename: Paulette
authors.initials: P
authors.lastname: Mhawech-Fauceglia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004273:DNA, Neoplasm / Q000235:genetics; D005260:Female; D006106:Granulosa Cell Tumor / Q000175:diagnosis* / Q000235:genetics / Q000473:pathology*; D006801:Humans; D053208:Kaplan-Meier Estimate; D019394:Ki-67 Antigen; D008875:Middle Aged; D008940:Mitotic Index; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000235:genetics / Q000473:pathology*; D011003:Ploidies; D011237:Predictive Value of Tests; D011379:Prognosis; D012189:Retrospective Studies
chemical_list: D004273:DNA, Neoplasm; D019394:Ki-67 Antigen