Sadeh Rotem, Segev Yakir, Schmidt Meirav, Schendler Jacob, Baruch Tamar, Lavie Ofer
Division of Gynecology Oncology, Department of Obstetrics and Gynecology, Carmel Medical Center, Haifa, Israel.
Department of Pathology, Carmel Medical Center, Haifa, Israel.
Case Rep Obstet Gynecol. 2017;2017:2736710. doi: 10.1155/2017/2736710. Epub 2017 Sep 11.
Uterine tumors resembling ovarian sex cord tumors (UTROSCT) are rare uterine neoplasms. These tumors are usually benign, displaying a nodular or polypoid growth pattern; common occurrence is observed at the 4th to 6th decade of life. This entity is divided according to clinical behavior and pathological typical findings including different immunohistochemical staining. Traditionally type I tumors show a predominant endometrial stromal pattern with less than 50% ovarian sex cord component. This type has been shown to behave more aggressively with a decreased disease free survival period. Type II tumors, the classical UTROSCT, are less invasive but have the tendency to recur. We report a case of a 57-year-old patient presenting with postmenopausal bleeding. Hysteroscopic polypectomy showed the diagnosis of UTROSCT. This case presents a less morbid minimally invasive treatment plan and exemplifies that in patients where low malignant potential exists and their will is taken into consideration such management is both crucial and correct.
子宫性索样肿瘤（UTROSCT）是一种罕见的子宫肿瘤。这些肿瘤通常为良性，呈结节状或息肉样生长模式；常见于40至60岁。该实体根据临床行为和病理典型表现进行分类，包括不同的免疫组化染色。传统上，I型肿瘤以子宫内膜间质为主，卵巢性索成分少于50%。这种类型的肿瘤行为更具侵袭性，无病生存期缩短。II型肿瘤，即经典的UTROSCT，侵袭性较小，但有复发倾向。我们报告一例57岁绝经后出血患者。宫腔镜下息肉切除术诊断为UTROSCT。该病例展示了一种创伤较小的微创治疗方案，并例证了在存在低恶性潜能且考虑患者意愿的情况下，这种管理既至关重要又正确。
