Non-syndromic bilateral ovarian sex cord stromal tumor with annular tubules in a postmenopausal elderly woman as an incidental finding
| Autor: | Teresita de Jesús Ruíz-Siller, Gabriela Sofía Gómez-Macías, Raquel Garza Guajardo, Claudia Luna-Limon, Oralia Barboza Quintana |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
congenital hereditary and neonatal diseases and abnormalities Peutz–Jeghers syndrome Case Report 03 medical and health sciences 0302 clinical medicine Older patients Endometrial Polyp Medicine skin and connective tissue diseases Sex cord tumors with annular tubules (SCTAT) Gynecology Intraepithelial neoplasia Postmenopausal women business.industry Post-menopausal patient Bilateral medicine.disease 030220 oncology & carcinogenesis Non-Peutz-Jeghers syndrome 030211 gastroenterology & hepatology Surgery Differential diagnosis business Non syndromic Ovarian Sex Cord-Stromal Tumor |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Sex cord tumors with annular tubules (SCTAT) are very rare neoplasms comprising less than 1% of sex cord ovarian tumors. • They usually occur in women of reproductive age and tend to be associated with Peutz Jeghers Syndrome (PJS), be bilateral. • We report the second case of a 71-year old woman with non-syndromic bilateral SCTAT. Introduction Sex cord tumors with annular tubules (SCTAT) are very rare neoplasms comprising less than 1% of sex cord ovarian tumors. They usually occur in women of reproductive age and tend to be associated with Peutz Jeghers Syndrome (PJS), be bilateral, multifocal, and small. When diagnosed in older patients they are often described as sporadic, unilateral, predominantly cystic and bigger. Case presentation A bilateral hysterosalpingo-oophorectomy was performed in a seventy-one year-old-woman with postmenopausal bleeding showing no features of PJS. A bilateral SCTAT was diagnosed, associated with a focus of Leydig cell hyperplasia, an endometrial polyp and endomethroid intraepithelial neoplasia. Discussion SCTAT is a very rare histological variant in postmenopausal women. The case we present is special, different to what has been reported in the literature regarding these tumors. Conclusion It is important to be aware that SCTATs can also be present in older women, they can be bilateral despite not being related to PJS syndrome and must be considered as a differential diagnosis in ovarian tumors. |
| Databáze: | OpenAIRE |
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