How would you manage a patient with recurrent stage IIIC granulosa tumor following secondary, R0 cytoreduction?

There is not a lot of data to go on in this situation. R0 resection is probably one of the best predictors for survival. Karalok et al., PMID 27174627 reported on a series of 18 patients undergoing resection of recurrent disease. Complete resection resulted in PFS and OS > 200 months.

In general, the...