Obstet Gynecol Sci.  2015 Sep;58(5):418-422. 10.5468/ogs.2015.58.5.418.

Successful delivery after conservative resectoscopic surgery in a patient with a uterine tumor resembling ovarian sex cord tumor with myometrial invasion

• Jeong KH
• Lee HN
• Kim MK
• Kim ML
• Seong SJ
• Shin E

• KMID: 2058469
• DOI: http://doi.org/10.5468/ogs.2015.58.5.418

Abstract

Uterine tumor resembling ovarian sex cord tumors (UTROSCT) is an extremely rare type of uterine stromal neoplasm that exhibits prominent sex cord-like differentiation. The clinical characteristics of a UTROSCT are not fully understood. Most reported cases of UTROSCT were treated by hysterectomy with or without bilateral salpingo-oophorectomy; however, a few cases have been treated by only tumor resection in patients who had a strong desire to preserve their fertility. We present a case of UTROSCT with myometrial invasion, which resulted in a successful delivery after the patient was treated by resectoscopic surgery and conservation of the uterus, and a brief review of the literature.

Keyword

Fertility preservation; Myometrial invasion; Tumor resection; Uterine tumor resembling ovarian sex cord tumor

MeSH Terms

Fertility
Fertility Preservation
Humans
Hysterectomy
Uterus

Figure

• 

  Fig. 1 Microscopic architectural patterns of the mass removed by resectoscopic surgery. (A) A relatively well-demarcated nodular mass within the superficial myometrium (H&E, ×40). (B) The tumor cells have relatively benign appearing, small round vesicular nuclei with nucleoli and eosinophilic cytoplasm (H&E, ×200). Immunohistochemical profile of the uterine tumors resembling ovarian sex cord tumor. (C) Positive for calretinin (calretinin, ×200). (D) Positive for CD99 (CD99, ×200). (E) Positive for CD56 (CD56, ×200). (F) Negative for CD10 (CD10, ×200).

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