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Inicio Clínica e Investigación en Ginecología y Obstetricia Tumor de la granulosa del adulto: caso clínico de presentación en la ancianida...
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Vol. 31. Núm. 4.
Páginas 127-135 (enero 2004)
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Vol. 31. Núm. 4.
Páginas 127-135 (enero 2004)
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Tumor de la granulosa del adulto: caso clínico de presentación en la ancianidad y revisión bibliográfica
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S.P. González-Rodrígueza, J.A. Pérez-Escanillaa, M.A. Ruiza, M.H. García-Sáncheza, A. Rodríguez-Llamasa, E.M. Morána, A. Tejerizob, A. Henríqueza
a Departamento de Obstetricia y Ginecología. Hospital Clínico Universitario. Salamanca. España.
b Departamento de Obstetricia y Ginecología. Hospital 12 de Octubre. Madrid. España.
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Resumen

Los tumores de células de la granulosa ovárica deladulto son interesantes, debido a su comportamientoimpredecible y a su capacidad de producir hormonas, que puede originar alteraciones en otros órganos delaparato genital. El curso clínico de los tumores de células de la granulosa ovárica se caracteriza por su curso indolente, que tiende a la recurrencia tardía.

Presentamos el caso de una paciente de 82 añoscon un gran tumor primario de células de la granulosa, complicado con shock hipovolémico causado porepisodio metrorrágico y sangrado de metástasis pleurales.

En este artículo se discuten el caso y la bibliografíarelativa a las características clínicas y epidemiologíade estos tumores, así como su diagnóstico, pronósticoy modalidades terapéuticas.

Abstract

Adult ovarian granulosa cell tumours (OCGT) are interesting due to their unpredictable behaviour and capacity to produce hormones, which may cause alterations in other organs of the genital tract. The clinical course of ovarian granulosa cell tumours is charecterized by its slow course, and tendency to late recurrence.

We present the case of an 82 year old woman with a large primary granulosa cell tumour, complicated by hypovolaemic shock caused by a metrorrhagic episode and bleeding from pleural metastases.

This case, and the literature relevant to the clinical characteristics and epidemiology of these tumours is discussed in this article. Also, their diagnosis, prognosis, and therapeutic characteristics.

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