%0 Journal Article
%T Premature Puberty Revealing an Ovarian Tumor in a Five-Year-Old Girl
%A Senkaye-Lagom Aim¨¦e Kissou
%A Yacouba Traor¨¦
%A Oumar Ganam¨¦
%A A£¿da Traor¨¦/Tankoano
%A Mariane Kabr¨¦
%A Emile Bandr¨¦
%J Open Journal of Pediatrics
%P 153-157
%@ 2160-8776
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojped.2023.132019
%X <strong>Background:</strong> <span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">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. </span><b><span style=\"font-family:Verdana;\">Case presentation: </span></b><span style=\"font-family:Verdana;\">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 </span><span style=\"font-family:Verdana;\">consultation.
The development of secondary sexual characteristics (SSC) noted</span><span style=\"font-family:Verdana;\"> by the family
had not been mentioned. The patient was classified as pubertal stage 2 according
to the Tanner classification. An abdominal ultrasound and </span><span style=\"font-family:Verdana;\">a CT scan showed a large left ovarian mass, an enlarged
uterus for the patient</span></span><span style=\"font-family:Verdana;\">¡¯</span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">s </span><span style=\"font-family:Verdana;\">age and a normal right ovary. The hormonal workup was
not contributive. The treatment consisted only of a left salpingo-ovarectomy, without
complementary</span><span style=\"font-family:Verdana;\"> chemotherapy. Anatomic pathological examination of the surgical
specimen </span><span style=\"font-family:Verdana;\">concluded to a juvenile tumor of the
granulosa. The evolution was good with</span><span style=\"font-family:Verdana;\"> a beginning of regression of the HSC
one month after the ovarectomy. </span><b><span style=\"font-family:Verdana;\">Discussion: </span></b><span style=\"font-family:Verdana;\">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. </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">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.</span></span>
%K Ovarian Tumor
%K Juvenile Granulosa Tumor
%K Early Puberty
%K Early Diagnosis
%K Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=123048