DOI: 10.36347/sjmcr.2016.v04i08.002

Pages: 568-571

Juvenile granulosa cell tumour is a rare cause of isosexual precocious puberty in children. Early diagnosis and surgical removal of the tumour is essential since the delay in treatment can result in malignant transformation. A 22-month-old girl presented with isosexual precocious puberty. Huge pelviabdominal mass involving the right side, which was firm, smooth surface, mobile, not tender, not pulsatile measuring 9x12 cm which was confirmed by computed-tomography (CT) of the abdomen. Laparotomy revealed a unilateral involvement, with successful removal of the tumour. Histopathology reported a juvenile granulosa cell tumour. Postoperatively, she experienced cassation of vaginal bleeding and her breast size regressed. She has a good prognosis.