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Premature Puberty Revealing an Ovarian tumor in a Five-Year-Old Girl

Open Journal of Pediatrics 2023年第2期13卷 153-157页

作者： Senkaye-Lagom Aimée Kissou Yacouba Traoré Oumar Ganamé Aïda Traoré/Tankoano Mariane Kabré Emile Bandré Departement of Pediatrics CHU Sourô SANOU (CHUSS) Bobo-Dioulasso Burkina Faso Higher Institute of Health Sciences (INSSA) Nazi Boni University (UNB) Bobo-Dioulasso Burkina Faso Pediatric Surgery Service CHUSS Bobo-Dioulasso Burkina Faso Medical Imaging Service CHUSS Bobo-Dioulasso Burkina Faso Anatomical Pathology Service CHU-YO Bobo-Dioulasso Burkina Faso

Background: Ovarian tumors in the girl child are sometimes revealed by the development of secondary sexual characteristics. The authors report the case of a five-year-old girl in whom the disease was revealed by early puberty. Case presentation: A five-year-old girl with an enlarged abdomen for about four months. The onset of pain and the sensation of a mass prompted the consultation. The development of secondary sexual characteristics (SSC) noted by the family had not been mentioned. The patient was classified as pubertal stage 2 according to the Tanner classification. An abdominal ultrasound and a CT scan showed a large left ovarian mass, an enlarged uterus for the patient’s age and a normal right ovary. The hormonal workup was not contributive. The treatment consisted only of a left salpingo-ovarectomy, without complementary chemotherapy. Anatomic pathological examination of the surgical specimen concluded to a juvenile tumor of the granulosa. The evolution was good with a beginning of regression of the HSC one month after the ovarectomy. Discussion: granulosa tumors are sometimes secretory cancers, generally with a low potential for malignancy and therefore a very good prognosis. Surgery based on total adnexectomy is the first-line treatment. The large size of the tumor, the presence of ascites and capsular rupture are factors of poor prognosis, hence the importance of early diagnosis. Conclusion: Routine comprehensive physical examination should be de rigueur for abdominal masses in girls, especially in the context of various beliefs that may impede early referral to care.

关键词： Ovarian tumor juvenile granulosa tumor Early Puberty Early Diagnosis Surgery

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