Journal of Clinical Case Reports

Shiro BC

Publications

• Case Report
  Multiple Successful Pregnancies Following Fertility-Sparing Surgery for Advanced Ovarian Cancer
  Author(s): John L. Powell, Kotwall CA and Shiro BCJohn L. Powell, Kotwall CA and Shiro BC
  
  Juvenile Granulosa Cell Tumors (JGCTs) of the ovary are rare. They usually present in children and adolescents. About 90% are diagnosed in early stage (FIGO I) with a favorable prognosis. More advanced stages (FIGO II-IV) usually have a poor clinical outcome. We report a case of long-term survival of a teenager with Stage III JGCT treated with aggressive debulking and thorough staging, but conservative surgery relative to the uterus, contralateral uninvolved ovary, and fallopian tube, plus combination chemotherapy. Her tumor recurred twice, 18 months and 17 years later, for which she had two additional surgeries and more chemotherapy. Because of the fertility sparing surgery, she was able to achieve 3 pregnancies and 4 children. .. Read More»
  DOI: 10.4172/2165-7920.1000542

  Abstract PDF