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A rare benign ovarian tumour.
Marta Morna Palmeiro1, Teresa Margarida Cunha1, Ana Luisa Loureiro1
1Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.
BMJ Case Reports
|March 3, 2016
Summary
Sclerosing stromal tumour (SST) is a rare, benign ovarian neoplasm. This case highlights typical imaging and pathology for conservative surgical management in young women.
Area of Science:
- Gynecologic Oncology
- Reproductive Endocrinology
- Surgical Pathology
Background:
- Sclerosing stromal tumour (SST) is an exceptionally rare ovarian neoplasm, comprising 6% of sex cord-stromal tumours.
- Typically diagnosed in women during their second and third decades of life.
- Common symptoms include pelvic pain, a palpable mass, or menstrual irregularities.
Observation:
- A 20-year-old woman presented with mild pelvic pain and normal laboratory results.
- Imaging revealed a large right adnexal mass, suggestive of an ovarian sex cord tumour.
- The patient underwent a right salpingo-oophorectomy for diagnosis and treatment.
Findings:
- Histopathological examination confirmed the diagnosis of Sclerosing Stromal Tumour (SST) of the ovary.
- The review emphasizes characteristic pathological and imaging features of this rare benign lesion.
- SST management often involves conservative surgical approaches.
Implications:
- Understanding the typical presentation aids in early diagnosis of rare ovarian tumours.
- Conservative surgery is feasible for benign lesions like SST, preserving ovarian function.
- This case contributes to the literature on rare sex cord-stromal ovarian tumours.
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