IOTW: 8 yo F with Vaginal Bleeding

Posted on: November 4, 2019, by :

This 8 yo F presented to her PCP with vaginal bleeding and was diagnosed with precocious puberty. She presented to the ED with symptomatic anemia and had a pelvic US which revealed a left ovarian mass consistent with a hormone secreting granulosa cell tumor. Granulosa cell tumors are rare, but do secrete estrogen and this was the likely source of this patient’s precocious puberty. Granulosa cell tumors often appear as large multiloculated masses.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Joanna Cohen

Pediatric Emergency Medicine Attending/Director of Pediatric Ultrasound at Children's National Health System
Joanna is originally from NY where she attended medical school at Downstate in Brooklyn. She completed her pediatric residency at Johns Hopkins and made her way south to DC for PEM and ultrasound fellowships. She has remained in DC, making her home in Capitol Hill since 2005. She stays busy mostly attending youth soccer games with her three kids and running.
Joanna Cohen

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