title: Juvenile Granulosa Cell Tumour of the Ovary with Unilocular Pure Cystic Presentation: A Case Report and Review of Literature.
abstract: BACKGROUND
  Granulosa cell tumours of the ovary are rare, hormonally active, oestrogen-secreting tumours of the ovary existing in two forms: the adult form and the even rarer juvenile form. These tumours present as predominantly solid lesions while the cystic, unilocular presentation is uncommon.
  
  
  METHODS
  We present an 18-year-old unmarried girl who presented with complaints of chronic pain, abdominal distension and presence of facial hair. Radiological examination revealed a large, purely cystic, unilocular lesion without any solid components, debris or septations. Histopathological diagnosis was of a juvenile granulosa cell tumour.
  
  
  CONCLUSIONS
  Radiological criteria suggestive of malignant ovarian masses include thick, irregular walls and septae; papillary projections and solid, echogenic foci. Nonetheless, we propose that a malignant ovarian lesion should be included in the differential diagnosis of a unilocular, purely cystic ovarian lesion.
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Karan Manoj
authors.initials: KM
authors.lastname: Anandpara
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Yashant
authors.initials: Y
authors.lastname: Aswani
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Hemangini
authors.initials: H
authors.lastname: Thakkar
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Priya
authors.initials: P
authors.lastname: Hira
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Pragati A
authors.initials: PA
authors.lastname: Sathe
keywords: Granulosa Cell Tumor; Ovarian Cysts; Ovarian Neoplasms