title: Uterine tumors resembling ovarian sex cord tumors: A case report and literature review.
abstract: Uterine tumors with ovarian sex cord-like elements are a rarely observed type of uterine body tumor with unknown etiology, and are divided into two groups: Endometrial stromal tumors with sex cord-like elements (ESTSCLEs) and uterine tumors resembling ovarian sex cord tumors (UTROSCTs). While ESTSCLEs are commonly associated with metastasis and recurrence, there is limited data in the relevant literature concerning the behavior of UTROSCTs. However, UTROSCTs are typically benign in nature. Although case numbers are limited, extra-uterine or lymph node metastasis has been reported. Surgical approaches may be altered according to the patient's age and desire for future fertility. Hysterectomies with bilateral salpingo-oopherectomy or hysteroscopic tumor resection are reported to be safe surgical treatment options. However, in the current report, a case of UTROSCT initially misdiagnosed as adenosarcoma following hysteroscopic tumor resection is presented. Staging surgery revealed the precise diagnosis of the tumor using appropriate immunohistochemical evaluations, and led to the discovery of a secondary tumor focus in the myometrium, adjacent to the location of the previously excised tumor. Thus, hysteroscopic resection is questionable as a definitive surgical treatment in patients exhibiting UTROSCT. If hysteroscopic resection is the selected treatment, close follow-up with diagnostic imaging is recommended.
authors.affiliation: Department of Gynecologic Oncology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara 06230, Turkey.
authors.forename: Nilufer
authors.initials: N
authors.lastname: Cetinkaya
authors.affiliation: Department of Gynecologic Oncology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara 06230, Turkey.
authors.forename: Sevda
authors.initials: S
authors.lastname: Bas
authors.affiliation: Department of Gynecologic Oncology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara 06230, Turkey.
authors.forename: Zeliha Firat
authors.initials: ZF
authors.lastname: Cuylan
authors.affiliation: Department of Pathology, Gazi University Medical Faculty, Ankara 06510, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Erdem
authors.affiliation: Department of Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara 06230, Turkey.
authors.forename: Salim
authors.initials: S
authors.lastname: Erkaya
authors.affiliation: Department of Obstetrics and Gynecology, Hitit University Medical Faculty, Corum 19200, Turkey.
authors.forename: Tayfun
authors.initials: T
authors.lastname: Gungor
keywords: resembling ovarian sex-cord tumors; sex cord-like elements; uterine tumors