Niti Kautish
Granulosa Cell Tumours (GCTs) though accounting for approximately 70% of malignant sex cord stromal tumours are rare, they comprise of only 2 to 5% of all ovarian neoplasms.1-3 These tumours arise from granulosa cells that are hormonally active stromal elements in close association with ovarian oocytes, which are responsible for the production of estradiol.1 Granulosa cell tumour is a vascular tumour that may occasionally rupture and result in abdominal pain, hemoperitoneum and hypotension mimicking an ectopic pregnancy in younger patients. Tumour rupture is often attributed to haemorrhagic cyst in up to 10 to 15% of the cases.2,4 I report an interesting case of huge adult granulosa cell tumour in a perimenopausal women who presented with acute abdomen, hemoperitoneum and haemorrhagic shock.
