Delayed Menopause Due to Ovarian Granulosa Cell Tumour
- Resource Type
- article
- Authors
- Neetha Vyas M.; Lakshmi Manjeera; Supriya Rai
- Source
- Journal of Clinical and Diagnostic Research, Vol 7, Iss 10, Pp 2306-2307 (2013)
- Subject
- delayed menopause
granulosa cell tumour
ovarian tumor
Medicine
- Language
- English
- ISSN
- 2249-782X
0973-709X
A patient presented to us with complaints of inability to attain menopause even at the age of 64. She has been having irregular cycles of bleeding for 5 days every 2-3 months from the age of 54. On evaluation, she was found to have endometrial hyperplasia and ultrasonography showed a homogenous solid ovarian mass of size of the 4 cm x 3.5 cm. She underwent staging laparotomy with total abdominal hysterectomy bilateral salpingo-oophorectomy and infra colic omentectomy. Histopathology confirmed granulosa cell tumour of the ovary. Most commonly granulosa cell tumour presented with post–menopausal bleeding and abnormal uterine bleeding, however, women with delayed menopause also have to be evaluated thoroughly for estrogen secreting ovarian tumours. There should be an element of suspicion if patient doesn’t attain menopause as specified and they need to be evaluated in detail.