J Menopausal Med.  2014 Aug;20(2):80-83. 10.6118/jmm.2014.20.2.80.

Sclerosing Stromal Tumor in an Elderly Postmenopausal Woman

• Kim TH
• Lee HH
• Hong JA
• Park J
• Jeon DS
• Lee A
• Koh ES

• KMID: 2325446
• DOI: http://doi.org/10.6118/jmm.2014.20.2.80

Abstract

Sclerosing stromal tumor (SST) of the ovary is a rare tumor derived from the sex cord stroma. This tumor was first described by Chalvaridjian and Scully in 1973. SST of the ovary is prevalence of 1.5% to 6% of ovarian stromal tumors. Patients are most commonly diagnosed in their 20s and 30s. There have been reports of SST postmenopausal women aged 65-, 67-, and 71 in the Republic of Korea; however, no report of this disease has been reported in women older than 80. In this study, we would like to report an 80-year-old postmenopausal woman who did not previously complain of any symptoms, and was finally diagnosed with SST. She was involved in a traffic accident, and huge pelvic mass was found during the evaluation of intra-abdominal hemorrhage. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed ; a final pathologic diagnosis reported SST.

Keyword

Neoplasms; Ovary; Postmenopause; Sex cord-gonadal stromal tumors

MeSH Terms

Accidents, Traffic
Aged*
Aged, 80 and over
Diagnosis
Female
Hemorrhage
Humans
Hysterectomy
Ovary
Postmenopause
Prevalence
Republic of Korea
Sex Cord-Gonadal Stromal Tumors

Figure

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  Fig. 1 T1 weighted magnetic resonance axial and sagittal imaging shows 9 × 10.5 × 10 cm sized large mass in the pelvic cavity.

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  Fig. 2 Operative finding shows right ovarian mass.

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  Fig. 3 Pathologic gross finding of large pelvic mass and microscopic surface finding. (A) Gross finding. (B) Cut surface showing vague pseudolobulation with focal yellowish areas (H & E, ×100).

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