Aims and background: Adult granulosa cell tumor has a low malignant po
tential but requires an extensive follow-up of more than 5 years to ac
curately assess tumor activity. The aim of the present study was to ev
aluate the clinical characteristics, the treatment and the outcome of
this rare ovarian tumor. Study design: A retrospective review of 35 ca
ses treated at primary onset of disease during a 23-year period from 1
971 to 1993. Results: The disease-free survival rate for stages IA-B-C
at 5 and 10 years was 90% and 84%, respectively; for stages Ill-IV th
e 5-year freedom from progression rate was 16%. Conclusions: The most
important prognostic factor appears to be the extent of tumor involvem
ent outside of the ovary.