The association of enchondromatosis with malignant transformed chondrosarcoma and ovarian juvenile granulosa cell tumor (Ollier disease)

• Published in: Taiwanese journal of obstetrics & gynecology Vol. 56; no. 2; pp. 253 - 257
• Main Authors: Burgetova, Andrea, Matejovsky, Zdenek, Zikan, Michal, Slama, Jiri, Dundr, Pavel, Skapa, Petr, Benkova, Kamila, Cibula, David, Fischerova, Daniela
• Format: Journal Article
• Language: English
• Published: China (Republic : 1949- ) Elsevier B.V 01.04.2017; Elsevier
• Subjects: Abdominal Neoplasms - complications; Abdominal Neoplasms - diagnostic imaging; chondrosarcoma; Chondrosarcoma - complications; Chondrosarcoma - diagnostic imaging; enchondromatosis; Enchondromatosis - complications; Enchondromatosis - diagnostic imaging; Female; Granulosa Cell Tumor - complications; Granulosa Cell Tumor - diagnostic imaging; Humans; Internal Medicine; juvenile granulosa cell tumor; Obstetrics and Gynecology; Ollier disease; Ovarian Neoplasms - complications; Ovarian Neoplasms - diagnostic imaging; Tomography, X-Ray Computed; Ultrasonography; ultrasound; Young Adult; chondrosarcoma; juvenile granulosa cell tumor; Ollier disease; enchondromatosis; ultrasound
• ISSN: 1028-4559; 1875-6263
• DOI: 10.1016/j.tjog.2017.02.002

Abstract Objective Ovarian juvenile granulosa cell tumor has an interesting association with multiple enchondromatosis (Ollier disease and Maffucci syndrome) and should be considered a leading diagnosis when an ovarian mass is found in young patients with these conditions. Besides the association with nonskeletal malignancies, there is a high risk of malignant transformation of enchondroma in chondrosarcoma as was also the case in this instance. Case Report The report uses multiple images to document the representative and characteristic markers of multiple enchondromas in a 22-year-old patient with Ollier disease complicated by malignant transformation of chondrosarcoma and in whom the disease is associated with ovarian juvenile granulosa cell tumor of the right ovary. Conclusion It is important to recognize that when the female patient presents with enchondromatosis and a large unilateral multilocular-solid ovarian mass, the specific diagnosis of granulosa cell tumor can be made with high accuracy.