Year 2017, Volume 20, Issue 2, Pages 23 - 26 2019-03-08

A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection
Uterin Kama Rezeksiyonu ile Tedavi Edilen Overin Seks Kord Tümörüne Benzeyen Uterin Tümör Vakası

Duygu Altın [1] , Salih Taşkın [2] , Fırat Ortaç [3]

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Introduction: Uterine tumor resembling ovarian sex cord tumors (UTROSCT) are infrequent forms of uterine tumors. It should be distinguished from endometrial stromal tumors with sex cord like elements (ESTSCLE) since the latter one is more aggressive and the outcome is poorer. Hysterectomy with or without adnexectomy is the preferred choice of treatment. Fertility preserving treatment options are seen more commonly in the last decade for young patients. Hysteroscopic resection of the tumor is the most frequent approach. To our knowledge this is the fi rst case of UTROSCT who was treated with uterine wedge resection. Case: We describe here a case of 26-year-old nulligravid woman with menometrorrhagia whose ultrasonographic examination revealed 4 cm submucous myoma. Abdominal myomectomy was done but the pathological result was UTROSCT. An abnormal lesion was detected in her control ultrasonography and PET/CT. She then underwent uterine wedge resection with clear surgical margins. She is being followed up for 6 years with no evidence of disease. Discussion: UTROSCT is usually seen in elderly women. Conservative management can be an option for younger women who have fertility desire. It seems like it is an acceptable choice since the tumor has low malignant potential. More cases are needed to support the safety of fertility preserving treatment and the outcome. 

Amaç: Amaç: Overin seks kord tümörüne benzeyen uterin tümör (OSKTBUT) nadir görülen bir uterus tümörüdür. Patolojik olarak daha agresif seyreden ve sağ kalımı daha kötü olan seks kord elemanları olan endometrial stromal tümörlerden ayrılmalıdır. Histerektomi ± ooferektomi tercih edilen tedavi şekli olsa da son yıllarda genç hastalarda fertilite koruyucu cerrahi uygulanmaya başlanmıştır. Tümörün histeroskopik rezeksiyonu en sık uygulanan yaklaşımdır. Bildiğimiz kadarıyla bu olgu uterin kama rezeksiyonu ile tedavi edilen ilk OSKTBUT vakasıdır. Olgu: 26 yaşında, nulligravid, menometroraji şikayeti ile başvuran hastada 4 cm submüköz myom tespit edilmiştir. Abdominal myomektomi yapılan hastanın patoloji sonucu OSKTBUT olarak raporlanmıştır. Kontrol ultrasonografi ve PET/BT’sinde uterusta şüpheli lezyon saptanan hastaya uterin kama rexeksiyonu yapılmış ve temiz cerrahi sınır elde edilmiştir. Hasta 6 yıldır hastalıksız takip edilmektedir. Tartışma: OSKTBUT genelde ileri yaşta görülmektedir. Tümörün düşük malignite potansiyeli olduğundan genç, fertilite isteği olan hastalarda uterus koruyucu cerrahi uygulanabilmektedir. Fertilite koruyucu yaklaşımların güvenilirliğini ve sonuçlarını desteklemek için daha fazla vakaya ihtiyaç vardır.

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Primary Language en
Subjects Surgery
Journal Section Case Report
Authors

Author: Duygu Altın

Author: Salih Taşkın

Author: Fırat Ortaç

Dates

Publication Date: March 8, 2019

Bibtex @case report { trsgo540275, journal = {Türk Jinekolojik Onkoloji Dergisi}, issn = {2148-5372}, address = {Türk Jinekolojik Onkoloji Derneği}, year = {2019}, volume = {20}, pages = {23 - 26}, doi = {}, title = {A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection}, key = {cite}, author = {Altın, Duygu and Taşkın, Salih and Ortaç, Fırat} }
APA Altın, D , Taşkın, S , Ortaç, F . (2019). A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection. Türk Jinekolojik Onkoloji Dergisi, 20 (2), 23-26. Retrieved from http://dergipark.org.tr/trsgo/issue/43667/540275
MLA Altın, D , Taşkın, S , Ortaç, F . "A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection". Türk Jinekolojik Onkoloji Dergisi 20 (2019): 23-26 <http://dergipark.org.tr/trsgo/issue/43667/540275>
Chicago Altın, D , Taşkın, S , Ortaç, F . "A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection". Türk Jinekolojik Onkoloji Dergisi 20 (2019): 23-26
RIS TY - JOUR T1 - A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection AU - Duygu Altın , Salih Taşkın , Fırat Ortaç Y1 - 2019 PY - 2019 N1 - DO - T2 - Türk Jinekolojik Onkoloji Dergisi JF - Journal JO - JOR SP - 23 EP - 26 VL - 20 IS - 2 SN - 2148-5372- M3 - UR - Y2 - 2019 ER -
EndNote %0 The Turkish Journal of Gynecologic Oncology A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection %A Duygu Altın , Salih Taşkın , Fırat Ortaç %T A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection %D 2019 %J Türk Jinekolojik Onkoloji Dergisi %P 2148-5372- %V 20 %N 2 %R %U
ISNAD Altın, Duygu , Taşkın, Salih , Ortaç, Fırat . "A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection". Türk Jinekolojik Onkoloji Dergisi 20 / 2 (March 2019): 23-26.
AMA Altın D , Taşkın S , Ortaç F . A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection. TRSGO Dergisi. 2019; 20(2): 23-26.
Vancouver Altın D , Taşkın S , Ortaç F . A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection. Türk Jinekolojik Onkoloji Dergisi. 2019; 20(2): 26-23.