A case of recurrent granulosa cell tumor (a type of ovarian cancer) in a 60-year-old female who had been operated on three times elsewhere in the last 1.5 years for the same, and every time she underwent an incomplete surgery and was given several lines of chemotherapy. She had come to the hospital with a large mass (30 x 28 x 25 cm) and a large incisional hernia and was told by several people that it was not treatable as it was a complex case and would have required multivisceral resections along with multiple adhesions due to previous surgeries. We did a successful surgery and removed the mass en bloc, which was around 7 kg and required 4 bowel anastomosis: jejunojejunal,ileojejunal, ileoileal, and colorectal.

The patient is absolutely fine now, and as per histology reports, the mass is a completely excised granulosa cell tumor of adult type, and the patient would not be requiring any systemic therapy. This case highlights the need to understand that for granulosa cell tumors, the treatment is a complete surgical excision, even if it's a complex one, because they don't respond to chemotherapy and radiation, and a complete surgical excision has the potential to not only treat but cure the cancer.

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