Conservative Resectoscopic Surgery, Successful Delivery, and 60 Months of Follow-Up in a Patient with Endometrial Stromal Tumor with Sex-Cord-Like Differentiation

Franciscis, Pasquale De; Grauso, Flavio; Ambrosio, Domenico; Torella, Marco; Em, Messalli; Colacurci, Nicola

doi:10.1155/2016/5736865

Cited by 7 publications

(22 citation statements)

References 14 publications

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“…One of them even gave birth to a healthy child after a second extensive fertility-sparing surgical treatment. To our knowledge, this is the first pregnancy reported under these conditions so far (Blake et al, 2014, Jeong et al, 2015, De Franciscis et al, 2016). …”

Section: Introductionmentioning

confidence: 51%

“…A fertility-preserving option for younger women with UTROSCT has only recently been suggested by some authors (O'Meara et al, 2009, Blake et al, 2014, Jeong et al, 2015, De Franciscis et al, 2016, Berretta et al, 2009, Giordano et al, 2010, Anastasakis et al, 2008, Hillard et al, 2004, Garuti et al, 2009). The goal of this article is to show that tumor resection alone, instead of hysterectomy, may be an option for treating UTROSCT.…”

Section: Discussionmentioning

confidence: 99%

“…Four successful pregnancies following uterus-sparing treatment of UTROSCT (Blake et al, 2014, Jeong et al, 2015, De Franciscis et al, 2016) have been described in the medical literature since 1945. The second case mentioned in this article would be the fifth.…”

Section: Discussionmentioning

confidence: 99%

“…In 1976, a series of 14 cases was added (Clement and Scully, 1976). To date, less than 100 cases of UTROSCT have been published (Morehead and Bowman, 1945, Clement and Scully, 1976, O'Meara et al, 2009, Blake et al, 2014, Jeong et al, 2015, De Franciscis et al, 2016, Berretta et al, 2009, Giordano et al, 2010, Anastasakis et al, 2008, Hillard et al, 2004, Garuti et al, 2009, De Leval et al, 2010, Biermann et al, 2008, Gomes et al, 2015, Lantta et al, 1984). According to the WHO, UTROSCT are classified in the group of endometrial stromal and related tumors.…”

Section: Introductionmentioning

confidence: 99%

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Uterine Tumors Resembling Ovarian Sex Cord Tumors – Treatment, recurrence, pregnancy and brief review

Schraag

Caduff

Dedes

et al. 2017

Gynecologic Oncology Reports

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BackgroundUterine Tumors Resembling Ovarian Sex Cord Tumors (UTROSCT) are rare tumors of low malignancy. In the past, these tumors were mainly treated by hysterectomy. More recently, some authors have proposed conservative surgical management for women wishing to preserve fertility. This article is the first to report on organ-preserving treatment in the case of recurrence or disease persistence.CasesWe report on three patients with UTROSCT, two of them young, not having completed family planning. One even gave birth to a healthy child after fertility-preserving treatment of a persistent UTROSCT. To our knowledge, this is the first pregnancy reported after surgical treatment of a persistent UTROSCT so far.ConclusionA fertility-sparing approach should always be considered in young women with UTROSCT who wish to preserve their fertility, also in cases of recurrence or disease persistence.

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Section: Introductionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Uterine Tumors Resembling Ovarian Sex Cord Tumors – Treatment, recurrence, pregnancy and brief review

Schraag

Caduff

Dedes

et al. 2017

Gynecologic Oncology Reports

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show abstract

“…Fertility sparing surgery for young patients had been reported by some authors (2,3,5,6). Most of them are done by resectoscope and some by abdominal myomectomy.…”

Section: Discussionmentioning

confidence: 98%

A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated With Uterine Wedge Resection

Altın¹,

Taşkın²,

Ortaç³

2017

Preprint

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Overin seks kord tümörüne benzeyen uterin tümör (OSKTBUT) nadir görülen bir uterus tümörüdür. Patolojik olarak daha agresif seyreden ve sağ kalımı daha kötü olan seks kord elemanları olan endometrial stromal tümörlerden ayrılmalıdır. Histerektomi ± ooferektomi tercih edilen tedavi şekli olsa da son yıllarda genç hastalarda fertilite koruyucu cerrahi uygulanmaya başlanmıştır. Tümörün histeroskopik rezeksiyonu en sık uygulanan yaklaşımdır. Bildiğimiz kadarıyla bu olgu uterin kama rezeksiyonu ile tedavi edilen ilk OSKTBUT vakasıdır. Olgu: 26 yaşında, nulligravid, menometroraji şikayeti ile başvuran hastada 4 cm submüköz myom tespit edilmiştir. Abdominal myomektomi yapılan hastanın patoloji sonucu OSKTBUT olarak raporlanmıştır. Kontrol ultrasonografi ve PET/BT'sinde uterusta şüpheli lezyon saptanan hastaya uterin kama rexeksiyonu yapılmış ve temiz cerrahi sınır elde edilmiştir. Hasta 6 yıldır hastalıksız takip edilmektedir. Tartışma: OSKTBUT genelde ileri yaşta görülmektedir. Tümörün düşük malignite potansiyeli olduğundan genç, fertilite isteği olan hastalarda uterus koruyucu cerrahi uygulanabilmektedir. Fertilite koruyucu yaklaşımların güvenilirliğini ve sonuçlarını desteklemek için daha fazla vakaya ihtiyaç vardır.

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Uterine tumor resembling ovarian sex cord tumor: a clinicopathological and immunohistochemical analysis of two cases and a literature review

et al. 2019

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A uterine tumor resembling an ovarian sex cord tumor (UTROSCT) is a rare type of neoplasm that is almost thoroughly differentiated towards ovarian sex cord elements. Because of abnormal uterine bleeding, a 64-year-old postmenopausal woman received total abdominal hysterectomy with bilateral salpingo-oophorectomy. Under a microscope, the tumor cells showed an anastomosing fascicular and trabecular pattern with a reticular architecture. Immunohistochemistry showed that the tumor cells were positive for calretinin, Wilm’s tumor-1, and vimentin. A 33-year-old woman who suffered from menorrhagia, and was treated for bilateral salpingectomy, total abdominal hysterectomy, and bilateral ovarian biopsy, was also studied. Using histology, the patient was diagnosed with UTROSCT as shown by CD99, smooth muscle actin, calretinin, vimentin, and desmin expression. As a type of rare uterine tumor, UTROSCT can be diagnosed based on morphological and immunohistochemical conditions. Generally, these tumors are benign, but can easily relapse through incomplete resection. Hysterectomy should be performed after completion of family planning.

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Conservative Resectoscopic Surgery, Successful Delivery, and 60 Months of Follow-Up in a Patient with Endometrial Stromal Tumor with Sex-Cord-Like Differentiation

Cited by 7 publications

References 14 publications

Uterine Tumors Resembling Ovarian Sex Cord Tumors – Treatment, recurrence, pregnancy and brief review

Uterine Tumors Resembling Ovarian Sex Cord Tumors – Treatment, recurrence, pregnancy and brief review

A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated With Uterine Wedge Resection

Uterine tumor resembling ovarian sex cord tumor: a clinicopathological and immunohistochemical analysis of two cases and a literature review

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