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Japanese Journal of Clinical Oncology, Vol 29, Issue 10 509-512, Copyright © 1999 by Foundation for Promotion of Cancer Research

ORIGINAL ARTICLE

Hemoperitoneum is an initial presentation of recurrent granulosa cell tumors of the ovary

WL Lee, CC Yuan, CR Lai and PH Wang
Department of Medicine, Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan.

Ovarian sex cord-stromal tumors account for less than 5% of all ovarian carcinoma, of which granulosa cell tumors account for 70%. These tumors have a propensity for indolent growth and late recurrence; they may even occur 25 years after initial treatment. We report a 44-year-old woman with hemoperitoneum (acute abdomen) after initial treatment 10 years earlier for granulosa cell tumor of the ovary. This case re-emphasizes the need for long-term follow-up in patients with stromal cell tumors of the ovary and considers the possibility of recurrence when presented with acute abdomen after conservative treatment.
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