Department of Gynecology Oncology, CHUM, Notre-Dame Hospital, Montreal QC.
BACKGROUND: Granulosa cell tumours are rare ovarian malignancies accounting for 2% to 5% of ovarian tumours. They are characterized by late recurrences, with the latest recurrence reported 37 years after first diagnosis. CASE: A 73-year-old woman who had surgery for a granulosa cell tumour in her early 30s and who presented with a recurrence 40 years later. CONCLUSION: Patients and their physicians should be made aware that there is a potential for a granulosa cell tumour to recur many years in the future.