A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation
Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We descri...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/3927971 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559861181710336 |
|---|---|
| author | Minh Nguyen Namarig Soumit Abdul Waheed Jack Sees Erum Azhar |
| author_facet | Minh Nguyen Namarig Soumit Abdul Waheed Jack Sees Erum Azhar |
| author_sort | Minh Nguyen |
| collection | DOAJ |
| description | Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We describe a case of a young 22-year-old pregnant woman who presented with pelvic pain in the second trimester. On imaging she was found to have a 12 cm left adnexal mass with solid features on MRI. The patient underwent exploratory laparotomy and removal of the mass that was attached to the left ovary via a stalk with preservation of the left ovary. The frozen section diagnosis was “sex cord stromal tumor, favor benign”. The final pathology confirmed the diagnosis of the sclerosing stromal tumor of the ovary where characteristic features of SST including a heterogenous, pseudolobular growth pattern with hypercellular and hypocellular areas were identified along with prominent luteinized stromal cells attributed to pregnancy. In this case report and review of literature, we emphasize consideration of this rare ovarian tumor in the differential diagnosis for a young pregnant woman who presents with pelvic pain. |
| format | Article |
| id | doaj-art-c8d4039277ee4f56834064b24d58490c |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-c8d4039277ee4f56834064b24d58490c2025-02-03T01:29:03ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/39279713927971A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on PresentationMinh Nguyen0Namarig Soumit1Abdul Waheed2Jack Sees3Erum Azhar4WellSpan Good Samaritan Hospital Family Medicine Residency Program, Lebanon, PA, USAWellSpan Good Samaritan Hospital Family Medicine Residency Program, Lebanon, PA, USAWellSpan Good Samaritan Hospital Family Medicine Residency Program, Lebanon, PA, USAWellSpan Pathology Associates, WellSpan Good Samaritan Hospital, Lebanon, PA, USADepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USASclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We describe a case of a young 22-year-old pregnant woman who presented with pelvic pain in the second trimester. On imaging she was found to have a 12 cm left adnexal mass with solid features on MRI. The patient underwent exploratory laparotomy and removal of the mass that was attached to the left ovary via a stalk with preservation of the left ovary. The frozen section diagnosis was “sex cord stromal tumor, favor benign”. The final pathology confirmed the diagnosis of the sclerosing stromal tumor of the ovary where characteristic features of SST including a heterogenous, pseudolobular growth pattern with hypercellular and hypocellular areas were identified along with prominent luteinized stromal cells attributed to pregnancy. In this case report and review of literature, we emphasize consideration of this rare ovarian tumor in the differential diagnosis for a young pregnant woman who presents with pelvic pain.http://dx.doi.org/10.1155/2019/3927971 |
| spellingShingle | Minh Nguyen Namarig Soumit Abdul Waheed Jack Sees Erum Azhar A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation Case Reports in Obstetrics and Gynecology |
| title | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
| title_full | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
| title_fullStr | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
| title_full_unstemmed | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
| title_short | A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation |
| title_sort | rare case of sclerosing stromal tumor of the ovary presenting in pregnancy a diagnostic dilemma on presentation |
| url | http://dx.doi.org/10.1155/2019/3927971 |
| work_keys_str_mv | AT minhnguyen ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT namarigsoumit ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT abdulwaheed ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT jacksees ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT erumazhar ararecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT minhnguyen rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT namarigsoumit rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT abdulwaheed rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT jacksees rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation AT erumazhar rarecaseofsclerosingstromaltumoroftheovarypresentinginpregnancyadiagnosticdilemmaonpresentation |