Cargando…
A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation
Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We descri...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955134/ https://www.ncbi.nlm.nih.gov/pubmed/31976099 http://dx.doi.org/10.1155/2019/3927971 |
_version_ | 1783486898626363392 |
---|---|
author | Nguyen, Minh Soumit, Namarig Waheed, Abdul Sees, Jack Azhar, Erum |
author_facet | Nguyen, Minh Soumit, Namarig Waheed, Abdul Sees, Jack Azhar, Erum |
author_sort | Nguyen, Minh |
collection | PubMed |
description | Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We describe a case of a young 22-year-old pregnant woman who presented with pelvic pain in the second trimester. On imaging she was found to have a 12 cm left adnexal mass with solid features on MRI. The patient underwent exploratory laparotomy and removal of the mass that was attached to the left ovary via a stalk with preservation of the left ovary. The frozen section diagnosis was “sex cord stromal tumor, favor benign”. The final pathology confirmed the diagnosis of the sclerosing stromal tumor of the ovary where characteristic features of SST including a heterogenous, pseudolobular growth pattern with hypercellular and hypocellular areas were identified along with prominent luteinized stromal cells attributed to pregnancy. In this case report and review of literature, we emphasize consideration of this rare ovarian tumor in the differential diagnosis for a young pregnant woman who presents with pelvic pain. |
format | Online Article Text |
id | pubmed-6955134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-69551342020-01-23 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 Case Rep Obstet Gynecol Case Report Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We describe a case of a young 22-year-old pregnant woman who presented with pelvic pain in the second trimester. On imaging she was found to have a 12 cm left adnexal mass with solid features on MRI. The patient underwent exploratory laparotomy and removal of the mass that was attached to the left ovary via a stalk with preservation of the left ovary. The frozen section diagnosis was “sex cord stromal tumor, favor benign”. The final pathology confirmed the diagnosis of the sclerosing stromal tumor of the ovary where characteristic features of SST including a heterogenous, pseudolobular growth pattern with hypercellular and hypocellular areas were identified along with prominent luteinized stromal cells attributed to pregnancy. In this case report and review of literature, we emphasize consideration of this rare ovarian tumor in the differential diagnosis for a young pregnant woman who presents with pelvic pain. Hindawi 2019-12-30 /pmc/articles/PMC6955134/ /pubmed/31976099 http://dx.doi.org/10.1155/2019/3927971 Text en Copyright © 2019 Minh Nguyen et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nguyen, Minh Soumit, Namarig Waheed, Abdul Sees, Jack Azhar, Erum A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title_full | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title_fullStr | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title_full_unstemmed | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title_short | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
title_sort | rare case of sclerosing stromal tumor of the ovary presenting in pregnancy: a diagnostic dilemma on presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955134/ https://www.ncbi.nlm.nih.gov/pubmed/31976099 http://dx.doi.org/10.1155/2019/3927971 |
work_keys_str_mv | AT nguyenminh ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT soumitnamarig ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT waheedabdul ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT seesjack ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT azharerum ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT nguyenminh rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT soumitnamarig rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT waheedabdul rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT seesjack rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT azharerum rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation |