Evidence map›Paper›PMID 41526935›Full record

ReviewBMC women's health2026

Liver metastasis of ovarian granulosa cell tumors: a case report and literature review.

Longjun Zhao, Tingting Jiao, Lili Zheng, Jinqiang Yan, Xiaoping Ma, Aihua Li, Xian Zhang, Yan Zhang

Abstract readCase ReportsReview
In one paragraph

Review in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Longjun Zhao *Department of Gynecology and Obstetrics, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China.
Tingting Jiao *Department of Obstetrics and Gynecology, Reproductive Medical Center, Chinese PLA General Hospital, the Seventh Medical Center of PLA General Hospital, Beijing, 100700, China.
Lili ZhengCentral Laboratory, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China.
Jinqiang YanDepartment of Pathology, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China.
Xiaoping MaDepartment of Gynecology and Obstetrics, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China.
Aihua LiDepartment of Gynecology and Obstetrics, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China.
Xian ZhangDepartment of Gynecology and Obstetrics, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China. zhangxian010101@163.com.
Yan ZhangDepartment of Gynecology and Obstetrics, Liaocheng People's Hospital and Liaocheng School of Clinical Medicine, Shandong First Medical University, Liaocheng, Shandong, 252000, China. zhangyan850907@126.com.

Funding

Natural Science Foundation of Shandong Province ZR2016CB12
6 · The paper itself

Abstract

backgroundGranulosa cell tumors (GCT) are a distinct type of sex cord-stromal tumor with low-grade malignancy. It frequently recurs due to pelvic dissemination or direct spread, whereas liver metastasis rarely occurs. Here, we report a rare case of a GCT in which recurrence with liver metastasis occurred 14 years later. We also discuss the imaging findings, histological features, and therapeutic approaches, and conducted a review of similar reported cases. CASE PRESENTATION: A 61-year-old female with recurrent ovarian GCT presented with a hepatic mass measuring approximately 8 cm in diameter. After surgical resection, histopathological examination revealed tumor cells nuclei with characteristic longitudinal grooves, a key diagnostic feature of GCT. Additionally, eosinophilic, unstructured Call-Exner bodies were observed. Immunohistochemical staining confirmed positive immunoreactivity for inhibin α, CD99 and CD56 markers. Based on these findings, the tumor was diagnosed as a liver metastasis of an ovarian GCT. The patient remained recurrence-free for 7 years following hepatectomy.

conclusionsThis case highlights the potential of ovarian GCT for late recurrence- even decades after primary treatment. A literature review revealed that, to date, only 21 cases of GCT with liver metastasis have been reported, with the interval between the diagnosis of the primary tumor and the development of liver metastasis ranging from 6 to 40 years. Close long-term follow-up is essential to detect recurrence early and optimize patient outcomes.

Indexed as

Granulosa Cell TumorLiver NeoplasmsNeoplasm Recurrence, LocalOvarian NeoplasmsFemaleHepatectomyHumansMiddle AgedGranulosa cell tumorLate recurrenceLiver metastasisSex cord stromal tumors

Identifiers

PMID41526935
PMCPMC12888684

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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.