PMID- 33103312 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20220531 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 47 IP - 1 DP - 2021 Jan TI - Management of recurrent granulosa cell tumor of the ovary: Contemporary literature review and a proposal of hyperthermic intraperitoneal chemotherapy as novel therapeutic option. PG - 44-51 LID - 10.1111/jog.14494 [doi] AB - Granulosa cell tumors of the ovary (GCT) are the most common type of sex cord stromal tumors. Although most of patients are diagnosed at early stage and has favorable 5-year overall survival rate, 16-23% of GCT ultimately develop recurrent disease. Recurrences are characterized by disseminated peritoneal metastasis. The treatment options include systemic chemotherapy, secondary CRS or palliative localized radiation therapy have not yet standardized due to the rarity of disease. Aggressive CRS followed up by hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to provide benefit in other peritoneal disease but limited data available for recurrent GCT. We have a case of recurrent Adult-type GCT (AGCT) who was treated with CRS followed by HIPEC with mitomycin C and doxorubicin. The patient has no evidence of recurrence for approximately 11 years. An electronic search of the PubMed database with the following search terms: GCT, HIPEC showed that there were total 21 patients with recurrent GCT treated in seven different studies and 13 of 21 (61.9%) patients had no evidence of disease during follow-up ranging from 6 to 100 months. Three patients (14.2%) died of the disease. Six studies used cisplatin for HIPEC. At least 76.2% (16 of 21, data not available for five patients) had complete cytoreduction with total 16 cases of perioperative complications but no perioperative mortality was observed. Although further investigation is needed, we propose that CRS and HIPEC can be an effective therapeutic option for recurrent GCT at experienced institutions. CI - (c) 2020 Japan Society of Obstetrics and Gynecology. FAU - Yasukawa, Maya AU - Yasukawa M AD - Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, District of Columbia, USA. FAU - Matsuo, Koji AU - Matsuo K AD - Division of Gynecology Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, California, USA. AD - Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, USA. FAU - Matsuzaki, Shinya AU - Matsuzaki S AD - Division of Gynecology Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, California, USA. FAU - Dainty, Louis A AU - Dainty LA AD - Regional Director of Gynecologic Oncology at Georgetown Lombardi Comprehensive Cancer Center, Chief of Gynecologic Oncology Department at MedStar Washington Cancer, Washington, District of Columbia, USA. FAU - Sugarbaker, Paul H AU - Sugarbaker PH AD - Chief of Peritoneal Surface Malignancy Program and Director of the Center for Gastrointestinal Malignancies, MedStar Washington Cancer Institute, Washington, District of Columbia, USA. LA - eng GR - Merck Sharp & Dohme/ PT - Journal Article DEP - 20201025 PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 RN - Granulosa cell tumor of the ovary SB - IM MH - Adult MH - Antineoplastic Combined Chemotherapy Protocols MH - Combined Modality Therapy MH - Cytoreduction Surgical Procedures MH - Female MH - Follow-Up Studies MH - *Granulosa Cell Tumor/drug therapy MH - Humans MH - *Hyperthermia, Induced MH - Hyperthermic Intraperitoneal Chemotherapy MH - Neoplasm Recurrence, Local/drug therapy MH - *Peritoneal Neoplasms MH - Review Literature as Topic OTO - NOTNLM OT - cytoreductive surgery OT - granulosa cell tumor OT - hyperthermic intraperitoneal chemotherapy OT - peritoneal metastases OT - recurrence EDAT- 2020/10/27 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/10/26 05:31 PHST- 2020/07/11 00:00 [received] PHST- 2020/08/25 00:00 [revised] PHST- 2020/09/05 00:00 [accepted] PHST- 2020/10/27 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/10/26 05:31 [entrez] AID - 10.1111/jog.14494 [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2021 Jan;47(1):44-51. doi: 10.1111/jog.14494. Epub 2020 Oct 25.