A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation

Nguyen, Minh; Soumit, Namarig; Waheed, Abdul; Sees, Jack; Azhar, Erum

doi:10.1155/2019/3927971

Cited by 3 publications

(8 citation statements)

References 13 publications

(31 reference statements)

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“…The characteristics of 17 cases reported between 1979 and 2019 are summarized in Table 2. 3–6,13,21–29…”

Section: Discussionmentioning

confidence: 99%

“…32 The characteristic pathological findings of SSTO were observed both macroscopically and microscopically in all the cases reported in the literature. 3–6,13,21–29 In addition, focal calcification in the interlobular areas, dense eosinophilic infiltrate, signet-ring cells, and hyalinization were also seen in some cases of SSTO during pregnancy. 23,25,27,29…”

Section: Discussionmentioning

confidence: 99%

“…3–6,13,21–29 In addition, focal calcification in the interlobular areas, dense eosinophilic infiltrate, signet-ring cells, and hyalinization were also seen in some cases of SSTO during pregnancy. 23,25,27,29…”

Section: Discussionmentioning

confidence: 99%

“…The characteristics of 17 cases reported between 1979 and 2019 are summarized in Table 2. [3][4][5][6]13,[21][22][23][24][25][26][27][28][29] The presence of SSTO cannot be predicted preoperatively based on clinical symptoms and ultrasonographic findings alone, and it is difficult to distinguish SSTO consisting of solid and cystic areas from ovarian malignancies based on radiological and macroscopic examinations. In addition, SSTOs occasionally appear to be highly vascular, making the differential diagnosis more difficult.…”

Section: Case Presentationmentioning

confidence: 99%

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A rare case of sclerosing stromal tumor of the ovary presenting in pregnancy: a case report and review of the literature

et al. 2023

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Sclerosing stromal tumor of the ovary (SSTO) is a rare benign neoplasm of the ovary, accounting for about 6% of all sex cord stromal ovarian tumors. Only 17 cases of SSTO occurring during pregnancy have been reported to date. We report a case of SSTO occurring during pregnancy and review the existing literature. A 32-year-old pregnant woman was found to have a 10-cm solid mass in the right adnexa, and a large volume of ascites fluid was detected by ultrasound examination in the second trimester. The patient underwent abdominal puncture to relieve her symptoms in the second trimester, and a partial right oophorectomy and cesarean section were performed at 39 weeks of gestation. Final pathology confirmed the diagnosis of SSTO. Both the mother and baby were well at 6 months of postpartum follow-up. Clinical symptoms, and hormone and imaging examinations are all helpful in making a differential diagnosis of SSTO, but the unique histopathological and immunohistochemistry findings remain the main diagnostic features. Pregnant women with SSTO usually undergo enucleation or unilateral oophorectomy, which generally does not have adverse pregnancy outcomes.

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“…The characteristics of 17 cases reported between 1979 and 2019 are summarized in Table 2. 3–6,13,21–29…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

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A rare case of sclerosing stromal tumor of the ovary presenting in pregnancy: a case report and review of the literature

et al. 2023

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“…The clinical and radiological features are nonspecific. The diagnosis is always made by the pathological examination of resected tumor specimen [3].…”

Section: Observationmentioning

confidence: 99%

Sclerosing stromal ovarian tumor

2020

JMR

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This article was subject to full peer-review.This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License 4.0 (CCBY-NC) allowing sharing and adapting. Share: copy and redistribute the material in any medium or format. Adapt: remix, transform, and build upon the licensed material. the work provided must be properly cited and cannot be used for commercial purpose.

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Is Ultrasound a Reliable and Reproducible Method for Assessing Adnexal Masses in Pregnancy? A Systematic Review

Gaughran¹,

Naji²,

Sabbagh³

et al. 2021

Cureus

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In this study, we aimed to systematically review the current evidence regarding the diagnostic accuracy of ultrasound in assessing adnexal masses in pregnancy. The Cochrane Register of Controlled Trials, PubMed, and EMBASE databases were searched for all types of clinical studies that utilised ultrasound for the diagnosis of adnexal masses in pregnancy. Only studies that used outcome measures of either histological diagnosis or significant regression of the adnexal mass on imaging follow-up were included. The quality of each study was assessed for risk of bias. The diagnostic performance of ultrasound in each study type was calculated, along with the pooled diagnostic performance of ultrasound in differentiating benign from malignant masses. The initial search yielded 4,915 articles, of which 2,547 qualified for abstract screening. A total of 83 articles were included in this review, including one prospective cohort study, six retrospective observational studies, seven case series, and 69 case reports. In the included studies, the total number of adnexal masses was 559. The mean patient age was 29.2 years (95% confidence interval [CI]: 28.7-29.7), with a mean gestational age at diagnosis of 13.8 weeks (95% CI: 13.2-14.4). The mean quality assessment score was 75%. The International Ovarian Tumour Analysis Simple Rules were used in two articles, whereas subjective impression was used in the remaining 81 articles. The most frequently diagnosed mass was a simple or physiological cyst (35%). The prevalence of malignancy in the entire sample was 46/559 (8%; 95% CI: 34-61%). The overall pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of ultrasound in detecting ovarian malignancy were 64% (95% CI: 30-88%), 88% (95% CI: 64-97%), 5.6 (95% CI: 1.2-25.4), and 0.4 (95% CI: 0.15-1), respectively. In conclusion, currently, there is a lack of highquality prospective studies to guide the management of adnexal masses in pregnancy. Ultrasound appears to have an adequate accuracy in differentiating benign from malignant masses; however, more research is required to assess the role of ultrasound models, rules, and subjective assessment in pregnancy compared to non-pregnant women.

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A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation

Cited by 3 publications

References 13 publications

A rare case of sclerosing stromal tumor of the ovary presenting in pregnancy: a case report and review of the literature

A rare case of sclerosing stromal tumor of the ovary presenting in pregnancy: a case report and review of the literature

Sclerosing stromal ovarian tumor

Is Ultrasound a Reliable and Reproducible Method for Assessing Adnexal Masses in Pregnancy? A Systematic Review

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