Granulosa-theca cell rumours are ovarian neoplasms of law malignancy with h
ormone secreting potential, accounting for 2-3%. of all ovarian cancers. Th
ey have an uncertain clinical course and a potential for late recurrence af
ter surgical removal. Clinical features of a patient presenting with pulmon
ary metastases 21 years after removal of the primary tumour are described,
along with a review of the management options.