Conservative management of a uterine tumor resembling an ovarian sex cord-stromal tumor.

Abstract

BACKGROUND:

Sex cord-stromal tumors usually arise in the ovary but may arise in the uterus. Only 55 cases have been reported thus far. A hysterectomy is typically recommended. We report a case of uterine tumor resembling an ovarian sex cord-stromal tumor managed conservatively.

CASE:

A 32-year-old nulliparous woman presented with infertility secondary to suspected uterine leiomyomata. A laparoscopic resection of the presumed leiomyomata was performed, and the pathology showed a uterine tumor resembling an ovarian sex cord tumor. Because of the patient's desire to preserve fertility, a hysterectomy was not performed. She has been followed for the past 18 months, and there is no evidence of tumor recurrence.

CONCLUSION:

Resection of the tumor without hysterectomy and close follow-up may preserve fertility without compromising survival in patients with uterine tumors resembling ovarian sex cord-stromal tumors.

• Authors: Jessica B Hillard, Anais Malpica, Pedro T Ramirez
• Journal: Gynecologic oncology (Gynecol Oncol) Vol. 92 Issue 1 Pg. 347-52 (Jan 2004) ISSN: 0090-8258 [Print] United States
• PMID: 14751183 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Fertility
• Humans
• Laparoscopy (methods)
• Sex Cord-Gonadal Stromal Tumors (pathology, surgery)
• Uterine Neoplasms (pathology, surgery)