Adult granulosa cell tumor (AGCT) of ovary is a rare tumor and usually has a benign course. Due to its indolent nature, recurrences are observed in a wide period and data on management of recurrences in AGCT are relatively sparse. We aimed to evaluate the clinical features, management, and survival of patients with recurrent AGCT.
The data of 144 patients with AGCT treated in Etlik Zubeyde Hanim Teaching and Research Hospital between 1990 and 2013 were retrospectively evaluated. Patients with radiologic or pathologic recurrences were included in the analysis.
A total of 18 patients (12.5%) with recurrent AGCT were included. Median follow-up was 97.5 months (range 6-255 months). A total of 16 patients underwent salvage surgery and maximal debulking was achieved in 13 patients. Ten patients had unifocal and 8 had multifocal tumors. Maximal debulking could be achieved in all patients with unifocal recurrence. On the other hand, maximal debulking could only be obtained in 3 patients (37%) with multifocal recurrence (p = 0.031). Multifocality of recurrent disease and the presence of residual tumor after surgery were associated with diminished progression-free survival and overall survival (31 vs 207 months, p = 0.031; and 22 vs 220 months, p = 0.005, respectively).
Multifocal recurrence and suboptimal surgery were related with poor survival outcomes in patients with AGCT recurrence. Surgical treatment of recurrent AGCT should aim to achieve no visible disease.
Tumori 2016; 102(4): 404 - 408
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsAlper Karalok, Isin Ureyen, Tolga Tasci, Derman Basaran, Osman Turkmen, Nurettin Boran, Derya Akdag Cirik, Gunsu Kimyon, Gokhan Tulunay, Taner Turan
- • Accepted on 08/02/2016
- • Available online on 09/05/2016
- • Published in print on 03/08/2016
This article is available as full text PDF.
- Karalok, Alper [PubMed] [Google Scholar] , * Corresponding Author (email@example.com)
- Ureyen, Isin [PubMed] [Google Scholar]
- Tasci, Tolga [PubMed] [Google Scholar]
- Basaran, Derman [PubMed] [Google Scholar]
- Turkmen, Osman [PubMed] [Google Scholar]
- Boran, Nurettin [PubMed] [Google Scholar]
- Cirik, Derya Akdag [PubMed] [Google Scholar]
- Kimyon, Gunsu [PubMed] [Google Scholar]
- Tulunay, Gokhan [PubMed] [Google Scholar]
- Turan, Taner [PubMed] [Google Scholar]
Gynecologic Oncology Department, Etlik Zubeyde Hanim Women’s Health Teaching and Research Hospital, Ankara - Turkey