Free Medical Advice Related to Laparoscopic Surgery

Granulosa cell tumor - is it cancer? One dr says no!
Discussion in 'All Categories' started by Amy Hinds-Alvarado - May 8th, 2012 8:45 pm.
Amy Hinds-Alvarado
Amy Hinds-Alvarado
I had laparoscopy last month and during removal of tumor it ruptured. Pathologist says it is a granulosa cell tumor pT1C pNX pM (not applicable). Gross description says received fresh from OR, 8.0 x 6.0 x 2.0 cm aggregate of irregular, fragmented, friable tan pink soft tissues. One aspect is glistening, and the opposite aspect is friable and papillary. No distinction between internal or external surfaces can be made. Microscopic description says sections demonstrate a neoplasticism proliferation of small cells women chromatin and grooved nuclei forming diffuse sheets and trabecular arrangements. A suggestion of rare rosette-like structures is also noted. Findings are morphological lay consistent w a granulosa cell tumor, adult. Immunohistochemical stains show the neoplasticism cells to express Inhibin, Calretinin, and PR. Immunostain for ER shows very focal, weak staining. Immunostains for CK AE 1/3, Synaptophysin, and Chromogrannin are negative. Immunophenotypicnfindings support the morphological impression. Permanent sections confirm the frozen section report.

1st gyo oncologist recommends hysterectomy, remove both ovaries and tubes, omentum lower, check lymph nodes, other areas for cells. He told me it is cancer.
2nd doctor told me he doesn't know if it is cancer after looking thru report and only recommends removal of left ovary and tube.

Isn't granulosa cell tumor cancer? What would you recommend I have done? Neither dr recommended chemo. I am confused by the no cancer statement.

Should I do hormone replacement therapy after full hysterectomy? I am 38 years.

Thank you.
re: Granulosa cell tumor - is it cancer? One dr says no! by Dr J S Chowhan - May 10th, 2012 1:58 pm
#1
Dr J S Chowhan
Dr J S Chowhan
Dear Madam

Actually Granulosa cell tumor (GCT) of the ovary is a hormonally active, stromal cell cancer that is distinguished by its ability to secrete sex steroids such as estrogen.

The value of postoperative adjuvant therapy for high-risk patients has not been investigated by prospective randomized trials, which are difficult to perform because of the rarity of this tumor. Nonetheless, the use of adjuvant chemotherapy or radiation has sometimes been associated with prolonged disease-free survival in patients with high-risk features. Because of the propensity of GCT to recur years after initial diagnosis, prolonged surveillance with serial physical examination and serum tumor markers such as estradiol and inhibin is reasonable.

Type of adjuvent therapy after surgery will be guided to you by surgeon who will perform this surgery. According to severity of disease.

With regards

J S Chowhan
re: Granulosa cell tumor - is it cancer? One dr says no! by spidgerge - May 11th, 2012 3:13 pm
#2
spidgerge
spidgerge
Howdy momis!
re: Granulosa cell tumor - is it cancer? One dr says no! by Herman - Jun 1st, 2012 1:47 am
#3
Herman
Herman
You probably shluod see a doctor. Chances are that the surgeon cut into some nerves when the lipoma was removed. That can take a long time to heal. If it is hurting again, I would check with a doctor. The discomfort shluod get less, not more.
re: Granulosa cell tumor - is it cancer? One dr says no! by DougBah - Dec 19th, 2013 7:58 am
#4
DougBah
DougBah
I am writing a paper about Art Movements of the 20th Century, does anyone have suggestion for authoritive resources?
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Simple catpcha image
*
* - required fields
 

 

Get Free Postoperative Advice

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×