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Int J Gynecol Pathol. 2010 Jan;29(1):24-6. doi: 10.1097/PGP.0b013e3181b0b771.

Glomus tumor of the ovary masquerading as granulosa cell tumor: case report.

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  • 1Department of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, Kentucky.


A solid right adnexal mass in a 73-year-old woman bled profusely with mobilization mimicking a granulosa cell tumor. There was almost complete replacement of the ovary by a circumscribed, 4.0 cm tumor with a hemorrhagic, solid cut surface. Morphologic and phenotypic correlation supported a diagnosis of glomus tumor. Large gaping vessels and small sinusoidal-type vessels formed an anastomotic vascular network with an inner endothelial lining (CD31+/CD34+) and an outer layer of glomocytes (actin+/desmin-/inhibin-). The hemangiopericytoma-like vasculature accounted for bleeding during surgery.

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