USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

Patients with idiopathic precocious puberty should be maintained with inhibition
of the hypothalamic–pituitary–ovarian axis until the chronologic age catches up
with the bone age.

Table II-12-2. Management   of  Precocious  Puberty

Idiopathic GnRH agonist

CNS lesions Medical or  surgical    treatment

Ovarian tumor Surgical  excision

McCune-Albright Aromatase   inhibitors

enzyme  inhibitor.

Granulosa   cell    tumor   (rare)  is  a   gonadal-stromal cell    ovarian tumor   that

autonomously    produces    estrogen.   A   pelvic  mass    will    be  identified  on

examination or  pelvic  imaging.    Management: Surgical    removal of  the

tumor.