Sclerosing Stromal Tumor of the Ovary: US, MR, and Dynamic MR Findings

Joja, Ikuo; Okuno, Keiko; Tsunoda, Masatoshi; Takeda, Yoshihiro; Sugita, Katsuhiko; Mizutani, Yasushi; Miyagi, Yasunari; Kudo, Takafumi; Notohara, Kenji; Hiraki, Yoshio

doi:10.1097/00004728-200103000-00007

Cited by 48 publications

(87 citation statements)

References 7 publications

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“…Unlike the thecoma-fibroma group of ovarian stromal tumors, which tend to occur in the fifth and sixth decades, the SST predominantly affects young women with a mean age of 28 years [1,2,3,4,5,6,7]. Following the original description of the tumor in 1973 by Chalvardjian and Scully, in their series of 10 patients [1], there have been several additional small series reported [2,5] and multiple isolated case reports focusing on the pathologic aspects of this unusual entity [3].…”

Section: Introductionmentioning

confidence: 99%

“…The most common presenting clinical symptoms described in the previously reported cases include menstrual irregularities and pelvic pain. Although these tumors were initially believed to be non-functional [1,2], there have been more recent reports suggesting the presence of hormone production both from a biochemical standpoint and associated clinical manifestations of infertility and irregular menses [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Sclerosing stromal tumor of the ovary in a premenarchal female

Fefferman

Pinkney

Rivera

et al. 2003

Pediatric Radiology

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Sclerosing stromal tumor (SST) is a rare benign ovarian neoplasm of stromal origin with less than 100 cases reported in the literature. Unlike the other stromal tumors, thecomas and fibromas, which tend to occur in the fifth and sixth decades, sclerosing stromal tumors predominantly affect females in the second and third decades. Computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound findings have been described, but have not been reported previously in the pediatric literature. We present a case of SST of the ovary in a 10-year-old premenarchal female, the youngest patient to our knowledge reported in the literature, and describe the ultrasound and CT findings with pathologic correlation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sclerosing stromal tumor of the ovary in a premenarchal female

Fefferman

Pinkney

Rivera

et al. 2003

Pediatric Radiology

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“…6 In our case, on USG mass was proved to be solid & cystic & measured approximately 15 cm × 14 cm × 6 cm. CT scan demonstrated large pelvic mass accompanied by ascites & right pleural effusion.…”

Section: Discussionmentioning

confidence: 48%

A rare case of sclerosing stromal tumor of ovary with Meigs syndrome presenting with torsion

2014

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“…The most common presentation is mixed pattern including cystic and solid components. However, due to predominant vascular parts of SST, color Doppler ultrasonography of SST reveals prominent vascularity in the peripheral portion and central intercystic spaces (4). It is difficult to definitely diagnose SST, preoperatively because it often mimics a malignant tumor.…”

Section: Introductionmentioning

confidence: 99%

Sclerosing Stromal Tumor (SST) with Massive Blood Loss at Operation: A Case Report

Nasiri¹,

Hasani²,

Mousavi³

et al. 2016

J Obstet Gynecol Cancer Res

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Introduction: One of the rare ovarian neoplasms is sclerosing stromal tumor (SST). The most common age at presentation of sclerosing stromal tumor is the second and third decades of life. Usually this tumor presents with menstrual irregularity and pelvic pain as reported previously. Surgery is mandatory for diagnosis because there is not any distinctive feature to diagnose by imaging techniques. Case Presentation: Our case in this report is a 26-year-old woman presented with pelvic pain. We conducted routine laboratory tests and checked ovarian mass tumor markers preoperatively. Due to her normal hormonal status in physical examination, we did not request more hormonal laboratory tests. However on imaging, we did not suspect benign tumor. Doppler sonography showed low resistance flow in peripheral and center of the mass. Right ovarian mass was resected and diagnosed as ovarian stromal tumor compatible with sclerosing stromal tumor. Unexpectedly at operation, we encountered severe hemorrhage from peritoneal surface so that conservative management such as packing and suturing or cauterization was not helpful. Finally, argon coagulation stopped bleeding. All coagulation laboratory tests requested by a hematologist were normal. Conclusions: In conclusion, we believe that vascular endothelial growth factor (VEGF) production of tumor is responsible for massive bleeding.

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Sclerosing Stromal Tumor of the Ovary: US, MR, and Dynamic MR Findings

Cited by 48 publications

References 7 publications

Sclerosing stromal tumor of the ovary in a premenarchal female

Sclerosing stromal tumor of the ovary in a premenarchal female

A rare case of sclerosing stromal tumor of ovary with Meigs syndrome presenting with torsion

Sclerosing Stromal Tumor (SST) with Massive Blood Loss at Operation: A Case Report

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