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Original Article

Granulosa-cell and theca-cell tumors: The clinical picture and long-term outcome for the radiumhemmet series

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Pages 361-365 | Received 16 Jan 1979, Published online: 09 Jul 2009
 

Abstract

Over the period 1923-72 a total of 305 patients with granulosa-cell, theca-cell tumor and mixed tumor were seen at Radiumhemmet.

The commonest symptom was abnormal uterine bleeding. Twenty-three per cent of married women were nulliparous. The menarche seems to have occurred earlier in this group than in the general population.

Eight of the granulosa-cell tumor group gave birth to 12 children after treatment for the tumor.

Nineteen women with granulosa-cell tumor and 4 with thecoma had received radiotherapy earlier in life for benign lesions.

The risk of endometrial cancer was approximately 10 times greater for the women with granulosa- or theca-cell tumor than for the general population.

Two hundred and fifty-two patients were given both surgical treatment and radiotherapy. Fifty-three received only surgery (37 granulosa-cell and 16 theca-cell tumors).

None of the thecoma patients but 21 per cent of those with granulosa-cell tumor died from their disease. The 5-year survival for the latter group, all stages, was 85 per cent.

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