Sclerosing stromal tumor of the ovary: A case report

Year 2017, , 103 - 106, 10.09.2017

Gonca Oğurlu Pakay , Kaan Pakay , Canan Kabaca Kocakuşak Ateş Karateke , Özden Us Hatice Öztürkmen , Ecmel Kaygusuz

https://doi.org/10.16948/zktipb.272955

Abstract

Classified among ovarian sex cord tumors, sclerosing stromal tumor
(SST) is an extremely rare ovarian malignant tumor which occurs predominantly
between the ages of 20 to 40.  However small number of postmenopausal or childhood cases were reported.

Lower abdomen USG and pelvic MRI indicated unilateral heterogen
cyctic mass in the 13 year old patient who presented to hospital with
complaints of dysmenorrhoea and abnormal uterine hemorrage. This article covers
imaging, operation, histopathological properties and distinctive diagnosis of
the benign sclerosing stromal tumors (SST).

Keywords

adolescent, ovarian

OVERİN SKLEROZAN STROMAL TÜMÖRÜ: OLGU SUNUMU

Abstract

Overin sklerozan
stromal tümörü (SST),  over seks  kord tümörleri içinde sınıflandırılan ve
oldukça nadir görülen benign karakterli bir tümördür. Bu tümörler çoğunlukla  20-40 yaş 
aralığında görülürler,  ancak az
sayıda olguda postmenopozal dönemde ya da çocukluk döneminde görülebilirler.

     13 yaşında anormal uterin kanama  ve dismenore 
yakınması ile başvuran 
adolesan  kızda, alt batın
ultrasonografisi  (USG)  ve pelvik manyetik rezonans görüntülemede
(MRG)  unilateral heterojen kistik kitle
tespit edilmiştir. Bu makalede benign sklerozan stromal tümör olgusunun,
görüntüleme, operasyon, histopatolojik özellikleri ve ayırıcı tanısı
sunulmuştur.

Keywords

adolesan, over

References

• 1. Kurt G, İlhan R, Yavuz E, Tuzlalı S, İplikçi A. Overin sklerozan stromal tümörleri: altı olgu üzerinde morfolojik ve immunhistokimyasal analiz. Turk J Pathol 2004;20:66-68.
• 2. Tavassoli FA, Fujii S, Mooney E, et al. Sex cord-stromal tumors In: Tumours of the Breast and Female Genital organs. 5. ed. IARC Press: Lyon; 2003. p. 152-153.
• 3.Martinelli G, Govoni E, Pileri S, Grigioni FW, Doglioni C, Pelusi G. Sclerosing stromal tumor of the ovary. A hormonal, histochemical and ultrastructural study. Virchows Archiv A 1983; 402: 155- 61.
• 4. Bildirici K, İlgici D, Peter B. Over sklerozan stromal tümörü (olgu sunumu). Çukurova Üniversitesi Tıp Fakültesi Dergisi 2001; 26(3):147- 151.
• 5. Kaçar Özkara S, Filinte D. Çocukluk ve adolesan dönemlerinde görülen over tümörleri: 42 olguda histopatolojik değerlendirme. Turk J Pathol 2007;23(3):151-159
• 6. Youm HS, Cha DS, Han KH, Park EY, Hyon NN, Chong Y. A case of huge sclerosing stromal tumor of the ovary weighing 10 kg in a 71-year-old postmenopausal woman. J Gynecol Oncol 2008; 19(4): 270-
• 7. He Y, Yang KX, Jiang W, Wang DQ, Li L. Sclerosing stromal tumor of the ovary in a 4-year-old girl with characteristics of an ovarian signet-ring stromal tumor. Pathol Res Pract 2009 Jul 13.
• 8. Aktaş S,Diniz G, Ortaç R, Ergin M.Sclerosing Stromal Tumor of the Ovary with Precocious Puberty in a Seven Month Old Girl: Case Report. Turkiye Klinikleri J Gynecol Obst 2009;19(2):98-101
• 9. Kim TH, Lee HH, Hong JA, Park J, Jeon DS, Lee A, et al. Sclerosing stromal tumor in an elderly postmenopausal woman. J Menopausal Med. 2014;20:80–83
• 10. Reles A, Wein U, Lichtenegger W. Transvaginal color Doppler sonography and conventional sonography in the preoperative assessment of adnexal masses. J Clin Ultrasound 1997; 25: 217-25.
• 11. Franchi M, Beretta P, Ghezzi F, Zanaboni F, Goddi A, Salvatore S. Diagnosis of pelvic masses with transabdominal color Doppler, CA 125 and ultrasonography. Acta Obstet Gynecol Scand 1995; 74: 734-9.
• 12. Pekindil, Gökhan. Over Tümörlerinde Görüntüleme. Trd Sem; 3:108- 126.
• 13. Jung SE, Lee JM, Rha SE, Byun JY, Jung JI, Hahn ST. CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics 2002; 22: 1305-25.
• 14. Siegelmann ES, Outwater EK. Tissue characterization in the female pelvis by means of MR imaging. Radiology 1999; 212: 5-18.
• 15. Imaoka I, Wada A, Kaji Y, Hayashi T, Hayashi M, Matsuo M, et al. Developing an MR imaging strategy for diagnosis of ovarian masses. Radiographics 2006; 26: 1431-48.
• 16. Thomassin-Naggara I, Anbert E, Rockall A, Jalaguier-Coudray A, Rouzier R, Darai E, et al. Adnexal masses: development and preliminary validation of an MR Imaging scoring system. Radiology 2013; 267: 432-43.
• 17. Stylianidou A, Varras M, Akrivis C, Fylaktidou A, Stefanaki S, Antoniou N. Sclerosing stromal tumor of the ovary: a case report and review of the literature. Eur J Gynaecol Oncol. 2001;22:300–304.
• 18. Lee MS, Cho HC, Lee YH, Hong SR. Ovarian sclerosing stromal tumors: gray scale and color Doppler sonographic findings. Journal of Ultrasound in Medicine 2001; 20:413-7.
• 19. Kim JY, Jung KJ, Chung DS, Kim OD, Lee JH, Youn SK. Sclerosing stromal tumor of the ovary: MR-pathologic correlation in three cases. Korean Journal of Radiology 2003; 4:194-9.
• 20. Kawamura N, Kamoi I, Shigyo R. Sclerosing stromal tumor of the ovary. Br J Radiol 1987; 60: 1031- 3.
• 21. Qureshi A, Raza A, Kayani N. The morphologic and immunohistoochemical spectrum of 16 cases of sclerosing stromal tumor of the ovary. Indian J Pathol Microbiol 2010;53:658-660. http://dx.doi.org/10.4103/0377-4929.72017 PMid:21045387
• 22. Young RH, Clement PB. Sex cord-stromal and steroid cell and germ cell tumors of the ovary.In: Mills S, editor . Sternberg’s Diagnostic Surgical Pathology, Volume II. 5th ed. Lippincott Williams and Wilkins; 2010. p. 2315-2316.