Sclerosing Stromal Tumor of The Ovary: A Case Report

Dilbaz, Berna; Taşçı, Yasemin; Ulular, Nuray; Demir, Ömer; Göktolga, Ümit

doi:10.5505/tjod.2011.25582

Cited by 3 publications

(2 citation statements)

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“…Beşinci veya altıncı dekadda olma eğiliminde olan fibroma, tekoma ve diğer stromal tümörlerin aksine SSOT'ün tanı yaşı ortalama 28'dir ve genelde (%80) 2.-3. dekadda görülür (7). Çok nadiren postmenopozal, premenarşal, adölesan dönemde rastlanabilir (2,4,8) Literatürle benzer şekilde çalışmamızda olguların ortalama yaşı 28 idi, hastaların %63.6'sı reprodüktif ve %18.2'si tanı anında postmenopozal dönemdeydi.…”

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“…Literatürde bilateral ovaryan kitleye sahip premenarşal 2 olguda preoperatif bulgularla ve intraoperatif makroskopik değerlendirme sonrası bilateral salpingoooferektomi yapılmış ancak postoperatif patolojik tanılar SSOT olarak rapor edilmiştir (9,20). SSOT'un ayırıcı tanıda gözönünde bulundurulması ile intraoperatif patolojik değerlendirme sonucunda tedavide over koruyucu cerrahi uygulanması önerilmektedir (8,9,21). Çalışmamızda tüm olgularda rutin frozen/section ile değerlendirme yapılarak özellikle premenopozal veya fertilitesini tamamlamamış hastalara over koruyucu cerrahi uygulanmıştır.…”

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Analysis of the Ovarian Sclerosing Stromal Tumor Cases

Kimyon¹

2014

GMJ

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Aim:The main purpose of this study is to evaluate clinical and radiological features of patients who are diagnosed with sclerosing stromal tumor of the ovary (SSOT) in our clinic and our surgical treatment experiences about these patients who have this rarely seen benign tumor. Materials and Methods: Between April 2002 and January 2014, data of 11 cases that were operated with prediagnosis of adnexal mass and diagnosed as SSOT after postoperative histopathologic evaluation in gynecology oncology clinic were retrospectively examined. The limit of the performed operation was determined with the frozen/section which is routinely used in adnexal mass management in our clinic. Results: The mean age of the patients was 28 (minimum: 14-maximum: 60) in the course of the diagnosis. Seven patients were in reproductive, 2 patients were in postmenopausal and the other 2 patients were in adolescence period. The presenting symptom was pelvic pain in 4 of the patients (36.4%) and primary infertility in 3 of the patients (27.3%). The mean size of the masses was 95 mm (minimum: 23 mm-maximum: 240 mm). All of the masses were unilateral. The masses were localized in right-handside in 6 patients (54.5%). Tumor was in ovarian localization for 10 patients, in paraovarian localization for 1 patient. In ultrasonography, 80% of the masses had a solid component, 70% of them had a partly cystic areas and 60% of them had a multilobular structure. Two patients who were detected ascites had high CA 125 levels too. Cystectomy to 4 patients, paraovarian mass excision to 1 patient, oophorectomy to 2 patients and unilateral salpingo-oophorectomy to 3 patients were performed. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed to one of the patients who had also persistence endometrial hyperplasia. Conclusion:The preoperative diagnosis of SSOT is extremely difficult and definitive diagnosis of SSOT is made with postoperative pathologic evaluation. Using frozen/section for determining the limits of surgical procedure to perform conservative surgery to SSOT, which is rarely seen benign tumor and is cured after surgery, will be a true management.

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Analysis of the Ovarian Sclerosing Stromal Tumor Cases

Kimyon¹

2014

GMJ

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Overin Sklerozan Stromal Tümörü / Sclerosing Stromal Tumor of the Ovary

Turcan¹,

Canaz²,

Yilmaz³

et al. 2017

Osmangazi Journal of Medicine

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Özet: Overin sklerozan stromal tümörü seks kord stromal tümörler kategorisinde yer alır ve bu gruptaki tümörlerin %2-6'sını oluşturur. Bu tümör, histolojik olarak hyalinize veya ödemli stromayla ayrılan hücreden zengin lobül benzeri yapılardan oluşur. Bu alanlar, iğsi hücreler ve oval-yuvarlak hücreler olmak üzere iki farklı hücre tipi içerir. Burada sklerozan stromal tümör tanısı almış üç olgu sunulmuştur. Amacımız overin sklerozan stromal tümörünü klinikopatolojik özellikleri ile sunmak ve ayırıcı tanıyı son literatür bilgilerini de gözden geçirerek tartışmaktır.

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A Rare Ovarian Tumor: The Sclerosing Stromal You Do Not Expect—A Case Series in the Adolescent Population and a Literature Review

et al. 2023

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Sclerosing stromal tumor (SST) is a rare ovarian tumor arising from the sex cord-stromal cells that occurs mainly in young adults during the second and third decades of life and rarely in pediatric and adolescent populations. The objective of this study is to report three illustrative cases of SST in young girls who had undergone surgery at our clinic in or after 2009, and to perform a literature review of this rare ovarian tumor. A retrospective chart review of female patients aged <18 years with a diagnosis of SST treated in a tertiary pediatric hospital was performed. Furthermore, a 10-year review of the SST literature was completed. Three cases of SST at our institution were outlined. After reviewing the literature, 18 SST cases were identified. The mean age at diagnosis was 13.4 years, and the reported clinical presentations were abdominal or pelvic pain and menstrual irregularity. Seven patients had abnormal hormone tests or CA-125 levels. In approximately 30% of cases, conservative surgery was performed, preserving residual ovarian tissue. In conclusion, some preoperative findings may help in suggesting the presence of SST. However, definitive diagnosis can only be made by histopathological examination. It is important to consider this tumor because, given its benign behavior, a conservative approach is preferred, particularly in this age group.

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Sclerosing Stromal Tumor of The Ovary: A Case Report

Abstract: SUMMARY Sclerosing stromal tumor of the ovary (SST) is

Cited by 3 publications

References 9 publications

Analysis of the Ovarian Sclerosing Stromal Tumor Cases

Analysis of the Ovarian Sclerosing Stromal Tumor Cases

Overin Sklerozan Stromal Tümörü / Sclerosing Stromal Tumor of the Ovary

A Rare Ovarian Tumor: The Sclerosing Stromal You Do Not Expect—A Case Series in the Adolescent Population and a Literature Review

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