ArticleInternational journal of surgery case reports2025
Successful laparoscopic cytoreductive surgery for multiple (three) advanced recurrences of AGCT in a young woman. A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and importanceDebulking surgery is the main approach for recurrent adult granulosa cell tumors (AGCTs), but the effectiveness of laparoscopic extensive cytoreduction in advanced cases and its impact on quality of life (QoL) remains unclear. CASE PRESENTATION: A 34-year-old woman, who had a right adnexectomy for AGCT in 2020, was referred with an 8-month history of a large left ovarian cyst and amenorrhea. Preoperative evaluations indicated a recurrence 18 months post-diagnosis. After discussing her career as a photo model, which required optimal aesthetic outcomes, we opted for total laparoscopic surgery, including radical type A hysterectomy, left salpingo-oophorectomy, pelvic peritonectomy, total mesorectal excision, total omentectomy, and pelvic and lumbo-aortic lymphadenectomy. Pathology confirmed stage 3C recurrent AGCT. After discussions, the patient declined adjuvant chemotherapy and received progestins with close follow-up. Fourteen months later, a positron emission tomography (PET) showed high metabolic activity in the left iliac fossa and right pelvis, confirmed by magnetic resonance as pelvic lymph node recurrence and small intestine involvement. She underwent laparoscopic cytoreductive surgery, including peritonectomy, lymph node metastases removal, and intestinal resection. She recovered with excellent aesthetic results and QoL. She completed six cycles of adjuvant cisplatin (80 mg/m2). Ten months later, following a suspected PET, a diagnostic/operative laparoscopy revealed a miliary peritoneal carcinosis, particularly in Morrison's space. CLINICAL DISCUSSION: Repeated laparoscopic extensive surgery for recurrent advanced AGCT yielded excellent aesthetic outcomes and effective cytoreduction.
conclusionThis case supports the safety and efficacy of minimally invasive techniques, emphasizing their role in preserving QoL and body image.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.