oa Southern African Journal of Gynaecological Oncology - Management with fertility preservation of an ovarian juvenile granulosa cell tumour presenting with retroperitoneal spread and bilateral ureteric obstruction : case study
Metastatic and recurrent ovarian juvenile granulosa cell tumours in young women are an uncommon condition. Primary management in young patients includes surgery with subsequent chemotherapy in selected cases. Fertility-preservation surgery may be possible, while still achieving appropriate cytoreduction and staging procedures. Retroperitoneal spread to lymph nodes is rare and lymphadenectomy is not routinely recommended. Recurrent disease or persistent disease may require further surgery and once again, it may be possible to preserve fertility without compromising oncological outcome.
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