Ewha Med J.  2020 Jan;43(1):19-23. 10.12771/emj.2020.43.1.19.

Two Cases of Uterine Tumors Resembling Ovarian Sex-cord Tumors: Rare Case of Uterine Tumor

• Kim IH
• Hwang YH
• Ha JG
• Hwang IT
• Kim SH

• KMID: 2468840
• DOI: http://doi.org/10.12771/emj.2020.43.1.19

Abstract

Uterine tumors resembling ovarian sex-cord tumors (UTROSCT) are very rare tumors that occur mainly in the uterine fundus of women in reproductive age. These tumors can be classified into group 1 and group 2 by histological results. In group 1, epithelial-like differentiation is partially observed in the tumors. In group 2, sex-cord elements are predominant in uterine mural mass. We experienced UTROSCT group 1 in a 29-year-old woman who complained of severe abdominal pain that started one week after delivery and UTROSCT group 2 case in a 49-year-old woman who complained of dysfunctional uterine bleeding. We report two different types of UTROSCT cases that we experienced.

Keyword

Uterine diseases; Uterine neoplasms; Sex cord-gonadal stromal tumors; Uterine tumors resembling ovarian sex-cord tumors; Endometrial stromal tumors with sex-cord like element

MeSH Terms

Abdominal Pain
Adult
Female
Humans
Metrorrhagia
Middle Aged
Sex Cord-Gonadal Stromal Tumors
Uterine Diseases
Uterine Neoplasms

Figure

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  Fig. 1 Sonographic (A) and contrast-enhanced CT (B,C) findings. Laparoscopic images (D,E). Hematoxylin and eosin staining (×100) (F). Immunoreactive for CD10 (×200) (G) and calretinin (×200) (H). Postoperative (I) and 3 months after surgery (J) PET-CT images.

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  Fig. 2 MRI images (A–C). Surgical specimen images (D,E). Hematoxylin and eosin staining (×200) (F). Immunoreactive for inhibin (×400) (G), CD99 (×200) (H), and smooth muscle actin (×200) (I).

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