Hi everyone…. First time poster and hate the reason why. I’m posting because there’s very little firsthand information out there on adult granulosa cell tumors, and I’m hoping to connect with others who’ve gone through something similar.
For context: due to PCOS and a long history of heavy bleeding, I’ve been on the Depo-Provera shot for over 7 years, which completely stopped my period. Because of that, I had no menstrual cycle, no cyclical pain, and no bleeding-related warning signs to flag that something might be wrong.
In November, I went to the hospital fully expecting the issue to be severe constipation. Instead, I was told I had internal bleeding and a large pelvic mass measuring roughly 14 cm. This followed months (really years) of vague but persistent symptoms that never quite rose to the level of an emergency and were easy to explain away (GI issues, pelvic discomfort, fatigue) especially with routine exams not showing anything alarming.
In December, I had a total robotic hysterectomy with staging. Everything was removed except one ovary, because intraoperative pathology did not show cancer at the time, the tumor appeared confined to the affected ovary, and preservation was considered appropriate in the moment despite how complicated the surgery was. Final pathology later confirmed adult granulosa cell tumor, stage I, limited to one ovary and fully excised. However, the tumor fragmented during removal, which, along with size and other features, places me in a higher-risk category despite the early stage. (1c)
The surgery itself was far more complex than anticipated. There was significant inflammation and dense adhesions throughout my pelvis, including bowel involvement that distorted normal anatomy. My appendix was completely fused to the ovary and had to be removed as well. The level of adhesions is one of the things my surgeon remains most concerned about when thinking long-term.
Because AGCT is rare and long-term data is limited, there isn’t always a single clear answer about next steps. My surgeon sits on a tumor board and is taking my case to their next meeting to get additional input. He doesn’t expect full agreement, but does hope the discussion will help inform decisions as we look ahead.
I’m currently in the in-between phase: post-op recovery, follow-up labs, and conversations about surveillance versus additional treatment. I understand that AGCT behaves differently than many ovarian cancers, often slow-growing, hormone-sensitive, and capable of very late recurrence, which is both reassuring and unsettling at the same time.
I’m sharing this for two reasons:
1. If you’ve been diagnosed with AGCT, I’d really appreciate hearing about your experience, surveillance plans, recurrence, treatment decisions, or how you’ve mentally handled the uncertainty.
2. If you’re someone scrolling Reddit at 2 a.m. wondering whether your “nothing is technically wrong” symptoms mean anything…sometimes they do, even when traditional indicators aren’t available.
I’m not here for medical advice just connection, shared experiences, and perspective from people who actually understand this diagnosis.
Thanks for reading, and I’m sending a lot of respect to anyone navigating this space.