A case of metachronous colon cancer developing after a primary granulosa cell tumor of ovary
Santosh Kumar Dora, Pariseema Dave, Meeta Mankad, Anusha Kamath
Recurrence after a granulosa cell tumor of ovary is though common, metachronous tumor should always be kept in mind because management of both cancers differ significantly. A 61 years old woman presented with a pelvic mass and enterocutaneous fistula with past history of granulosa cell tumor of the ovary for which surgery and chemotherapy was received 7 years back. Her inhibin B level was 70 pg/ml and CA125 was 7.05 U/ml giving the probable diagnosis of a recurrent granulosa cell tumor of ovary with a complicated enterocutaneous fistula. She underwent exploratory laparotomy with enbloc resection of pelvic mass and the final histopathological examination report came out to be mucinous adenocarcinoma of colon and appendix.