Palmeiro Marta Morna, Cunha Teresa Margarida, Loureiro Ana Luisa, Esteves Gonçalo
Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.
BMJ Case Rep. 2016 Mar 1;2016:bcr2015214101. doi: 10.1136/bcr-2015-214101.
Sclerosing stromal tumour (SST) of the ovary is an extremely rare and benign ovarian neoplasm, accounting for 6% of the sex cord stromal ovarian tumours subtype. Usually, it is found during the second and third decades of life. Patients commonly present with pelvic pain, a palpable pelvic mass or menstrual irregularity. We report a case of a 20-year-old woman reporting of mild pelvic pain, with normal laboratory data. On imaging examinations, a large right adnexal tumour was found, with features suggesting an ovarian sex cord tumour. The patient underwent right salpingo-oophorectomy, diagnosing a SST of the ovary. This paper also reviews the literature, and emphasises the typical pathological and imaging characteristics of these rare benign ovarian lesions, and their impact, in a conservative surgery.
卵巢硬化性间质瘤（SST）是一种极其罕见的卵巢良性肿瘤，占性索间质卵巢肿瘤亚型的6%。通常在生命的第二个和第三个十年被发现。患者通常表现为盆腔疼痛、可触及的盆腔肿块或月经不规律。我们报告一例20岁女性，自述轻度盆腔疼痛，实验室检查数据正常。影像学检查发现右侧附件区有一个大肿瘤，其特征提示为卵巢性索肿瘤。患者接受了右侧输卵管卵巢切除术，诊断为卵巢硬化性间质瘤。本文还回顾了文献，并强调了这些罕见的卵巢良性病变的典型病理和影像学特征，以及它们在保守手术中的影响。
