No adenoma malignum or mucinous metaplasia of endometrial or tubal epithelium was seen. Other hormone levels, such as prolactin, luteinizing hormone LHor follicle stimulating hormone FSHdid not show obvious tendencies. No capsular infiltration was noted Figure 1 b.
N Engl J Med.
Thus, careful history taking and physical examination combined with imaging tests can be used as monitoring methods. This tumor was detected in a non-Peutz-Jeghers syndrome PJS female patient aging years after 9 years of primary surgery. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nuclei showed antipodal arrangement with focal sertoliform pattern [ Figure 1e ]. The wide differential diagnosis and the relative rarity of SCTAT may explain the misdiagnosis of our case as granulosa cell tumor in the primary resection. Figure 1.
Finally, she received a laparoscopic ovarian cystectomy on account of the ovarian cyst achieved the surgical requirements. Life table was used for survival analysis. Sex cord tumor with annular tubules associated with endometriosis of the fallopian tube. Hence the final diagnosis still depended on pathology characterized by simple or complex annular tubes 17 see Figure1A,Beven providing a disease history might be necessary.
Different from epithelial ovarian cancer, surgery is still the main treatment of choice for patients with recurrent SCTAT. In addition to its association with PJS, many other coexisting conditions have been reported, mostly with single case reports.
The adjacent ovarian stroma showed invasion by the tumor and lymphatic emboli [ Figure 1f ]. Table 2 Comparison of clinicopathologic features and treatment modalities between patients with and without recurrence Chi-square test Full size table.