Here is a copy of my lab diagnosis that I received two weeks ago. The pathologist here in Japan (we are a military family in Okinawa) sent it to Walter Reed for an expert to look at it, however we have yet to hear anything back. Two weeks seems like a lng time for something like this to get a result. PLEASE any information is GREATLY appreciated. My stress level is thru the roof and I am just very concerned at this point. I initially went into the ER b/c my abdomen was severly swollen and my groin area was as well. the dr said in my surgery, he saw some "lumpy, bumpy stuff" on my ovaries but just moved on b/c he was looking for something ruptured. See below:
Final Diagnosis:
BODY CAVITY FLUID
-Satisfactory for evaluation, highly cellular
-Features suggestive of a granulosa cell tumor of ovary (see comment)
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COMMENT: THis highly cellular aspirate is composed of individually dispersed uniform tumor cells and small loosely cohesive clusters. Within the cohesive aggregates, structures consistent with Call-Exner bodies are evident. The nuclei have smooth outlines, extremely finely reticulated, and finely dispresed chromatin, and a lack of prominent nucleli. Longitudinal grooves are evident in several of the homogenous neoplastic cells. Although the features are highly suggestive for a granulosa cell tumor of the ovary, other diagnoses must also be considered in the cytologic differential diagnosis. these include but are not limited to small cell carcinoma, endometrial stromal sarcoma, and carcinoid tumor. Because of the cohesive tendency of the tumor cells, a diagnosis of lymphoma is not favored. Tissue confirmation is recommended.
CLINICAL DIAGNOSIS & HISTORY
31 year old female with abdominal pain, abdominal wall swelling and turbid ascitic fluid on diagnostic laparoscopy