Obstetrics & Gynecology Science  2015;58(5):423-426

doi:10.5468/ogs.2015.58.5.423

Adult granulosa cell tumor presenting with massive ascites, elevated CA-125 level, and low 18F-fluorodeoxyglucose uptake on positron emission tomography/computed tomography.

Ji Young TAK 1 ; Gun Oh CHONG ; Ji Y PARK ; Seung Jeong LEE ; Yoon Hee LEE ; Dae Gy HONG

Affiliations

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Keywords

Adult granulosa cell tumor; CA-125; 18F-fluorodeoxyglucose; Massive ascites; Positron emission tomography/computed tomography

Country

Republic of Korea

Language

English

Abstract

Adult granulosa cell tumors (AGCTs) presenting with massive ascites and elevated serum CA-125 levels have rarely been described in the literature. An ovarian mass, massive ascites, and elevated serum CA-125 levels in postmenopausal women generally suggest a malignant ovarian tumor, particularly advanced epithelial ovarian cancer. AGCT has low 18F-fluorodeoxyglucose uptake on positron emission tomography/computed tomography due to its low metabolic activity. In the present report, we describe a case of an AGCT with massive ascites, elevated serum CA-125 level, and low 18F-fluorodeoxyglucose uptake on positron emission tomography/computed tomography.