title: Long-term Remission in a Female With Multiple Relapsed Juvenile Granulosa Cell Tumor.
abstract: A 4 ½-year-old female was diagnosed with ovarian juvenile granulosa cell tumor stage IA. After complete tumor resection she received 4 courses of chemotherapy due to unfavorable histopathologic features (high mitotic index, high microvessel density, blood vessel invasion). One year after diagnosis, she experienced paraaortic lymph node relapse treated with surgery, local radiotherapy, and conventional and high-dose chemotherapy. A second, paratracheal lymph node relapse 7 months later necessitated surgical removal and radiotherapy. Subsequently an adjuvant antiangiogenesis-based treatment including paclitaxel, bevacizumab, thalidomide, and pegylated interferon was initiated and continued for 2 years. The female is now in third complete remission 6 years after second relapse.
authors.affiliation: *Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology †Department of Radiology, Division of Pediatric Radiology ‡Institute of Pathology, Medical University of Graz, Graz, Austria.
authors.forename: Martin
authors.initials: M
authors.lastname: Benesch
authors.forename: Herwig
authors.initials: H
authors.lastname: Lackner
authors.forename: Alexander
authors.initials: A
authors.lastname: Pilhatsch
authors.forename: Barbara
authors.initials: B
authors.lastname: Gürtl-Lackner
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schwinger
authors.forename: Christian
authors.initials: C
authors.lastname: Urban
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002675:Child, Preschool; D005260:Female; D006106:Granulosa Cell Tumor / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008197:Lymph Node Excision; D015182:Lymphatic Irradiation; D008207:Lymphatic Metastasis / Q000532:radiotherapy; D009367:Neoplasm Staging; D009389:Neovascularization, Pathologic / Q000188:drug therapy; D010051:Ovarian Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy; D012074:Remission Induction; D016879:Salvage Therapy