Dermatopathic Intraperitoneal Lymphadenitis Co-Existent Adult Granulosa Cell Tumor with High Grade Features: A Unique Clinical and Histological Event

Granulosa cell tumour and dermatopathic lymphadenitis are in itself a rare histological diagnosis. Both occurring concurrently in the same patient makes the entire clinical picture a unique event.

A 40-year-old lady presented with a mass in the lower abdomen for 6 months and stopped menstruation for 1 year. Clinico-radiologically she was diagnosed as ovarian neoplasm with possible nodal metastasis and underwent staging laparotomy. Histopathological examination revealed adult granulosa cell tumor (displaying high grade nuclear features) with lymph nodes displaying perifollicular fibrosis. There was no evidence of tumour cells in the enlarged nodes. On enquiring and searching for possible causes for the abnormally enlarged nodes, we found that the patient had diffuse macular pigmented patches on her entire body. Moreover, due to presence of necrosis and frequent mitosis the granulosa cell tumor seen in ovary was high grade.

It was thus signed as Dermatopathic intraperitoneal lymphadenitis co-existent adult granulosa cell tumor with high grade features.