Abstract
Juvenile granulosa cell tumour (JGCT) is very uncommon gynaecological malignancy that occurs mostly commonly in less than five years of age. Only 0.1 percent of all ovarian tumours and 4 - 5 percent of granulosa cell tumours present as JGCT. The most common presentation of these tumours in children is precocious puberty. We describe anaesthetic management of a case of JGCT in a 1-year-old girl. The malignancy is assigned to International Federation of Gynaecology and Obstetrics staging system (FIGO stage I). It was treated with complete excision and histological examination confirmed the diagnosis.
Highlights
Ovarian juvenile granulosa cell tumour (JGCT) is extremely rare sex cord-stromal tumour [1]
JGCT is different from adult granulosa cell tumour (AGCT) which is seen in older females with respect to clinical and pathological features as well as biological behaviours [3]
These serious complications along with excellent prognosis of JGCT after salpingo-oophorectomy [6] emphasize the need for early surgical intervention
Summary
Ovarian juvenile granulosa cell tumour (JGCT) is extremely rare sex cord-stromal tumour [1]. They present as sexual precocity in prepubertal girls due to excessive oestrogen production. These serious complications along with excellent prognosis of JGCT after salpingo-oophorectomy [6] emphasize the need for early surgical intervention. Anaesthetic management for such surgeries is very challenging. The aim of the present case was to draw attention towards the hemodynamic alterations and respiratory distress which might develop in patients during surgical excision of giant ovarian masses
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