Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

Which tumor marker is MOST specifically elevated in granulosa cell tumor of the ovary and can be used for monitoring recurrence?

  • A CA-125
  • B AFP
  • C Inhibin B
  • D LDH
Correct answer: C. Inhibin B

Explanation

Granulosa cell tumors of the ovary are sex cord-stromal tumors that produce inhibin B (and inhibin A), making serum inhibin B the preferred marker for diagnosis and monitoring recurrence. CA-125 is elevated mainly in epithelial ovarian tumors. AFP is the marker for yolk sac tumor, and LDH is used for dysgerminoma.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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