Hormonal treatment of a recurrent granulosa cell tumor of the ovary: case report and review of the literature.

Abstract:

BACKGROUND:Granulosa cell tumors of the ovary are rare, primarily treated surgically. In advanced or recurrent disease, data are inconclusive regarding the benefit of either primary or adjuvant chemotherapy. Hormonal therapy has been suggested as an alternative treatment. CASE:Our patient had three recurrences of estrogen receptor negative and progesterone receptor positive GCT, the first two treated by surgery with or without adjuvant chemotherapy. For the third recurrence, the patient received alternating biweekly cycles of megestrol and tamoxifen. Computed tomography showed stable disease at 6 months, partial response at 18 months, and complete response at 22 months. The patient continues on hormonal therapy and has been disease-free for 5 years. CONCLUSION:This study and others suggest that hormonal therapy may provide another option for treating these relatively rare tumors.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Hardy RD,Bell JG,Nicely CJ,Reid GC

doi

10.1016/j.ygyno.2004.10.042

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

865-9

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(04)00893-5

journal_volume

96

pub_type

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