Juvenile Granulosa Cell Tumor with Elevated Peripheral Interleukin-6 Level Shows Prolonged Fever and Delayed Puberty

外周白细胞介素 6 水平升高的青少年颗粒细胞瘤表现为长时间发烧和青春期延迟

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作者:Keisuke Okuno, Naohiro Yoneda, Rei Nishimura, Hitoshi Sano, Jun-Ichi Ueyama, Hiroaki Komatsu, Tasuku Harada, Michiko Matsushita, Satoshi Kuwamoto, Yasushi Horie, Susumu Kanzaki

Abstract

Juvenile granulosa cell tumor (JGCT), classified as a sex cord-stromal tumor, is a rare neoplasm. This is an instructive case report of JGCT accompanied by augmented interleukin (IL)-6 secretion. A 13-year-old girl with prolonged fever and delayed puberty was diagnosed with JGCT of the left ovary based on an imaging study and pathological investigation. Although it was not clear whether IL-6 was secreted from the tumor cells, her serum level of IL-6 was very high. After tumorectomy, the patient's symptoms immediately disappeared, her IL-6 level decreased, and she entered puberty. Therefore, augmented IL-6 secretion production induced by tumors should be considered a potential cause of prolonged fever and/or delayed puberty.

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