title: [Pulmonary metastasis of an ovarian granulosa cell tumor resected 11 years before].
abstract: A 69-year-old female, who had undergone oophorectomy for a left ovarian granulosa cell tumor (OGCT) in November 1999, was referred to our hospital due to rectal infiltration of the tumor detected during the initial surgery. The patient underwent low anterior resection, omentectomy and adnexectomy for the residual lesion at 1 month after the initial operation, and was followed up without postoperative adjuvant chemotherapy. In November 2010, abdominal computed tomography( CT) showed a soft tissue tumor on the surface of the liver. Meanwhile, a solitary nodule in S3 of the left lung was detected on chest CT. Laparotomy was done under suspicion of liver metastasis, but the lesion was revealed to be peritoneal dissemination at surgery. After subsequent 1-year follow-up, the enlargement of the pulmonary nodule was noted, and partial resection of the left lung was performed. The tumor was pathologically diagnosed as a metastasis of the OGCT.
authors.affiliation: Department of Surgery, Osaka National Hospital, Osaka, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsui
authors.forename: Hideyasu
authors.initials: H
authors.lastname: Omiya
authors.forename: Koji
authors.initials: K
authors.lastname: Takami
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Kenji
authors.initials: K
authors.lastname: Ban
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kodama
authors.forename: Keiko
authors.initials: K
authors.lastname: Kuriyama
authors.forename: Mitsugu
authors.initials: M
authors.lastname: Sekimoto
mesh_terms: D000368:Aged; D005260:Female; D006106:Granulosa Cell Tumor / Q000473:pathology*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D064847:Multimodal Imaging; D013997:Time Factors; D014057:Tomography, X-Ray Computed