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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation
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A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation

机译：一种罕见的妊娠中卵巢中基质肿瘤的罕见案例：呈现诊断困境

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摘要

Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. We describe a case of a young 22-year-old pregnant woman who presented with pelvic pain in the second trimester. On imaging she was found to have a 12?cm left adnexal mass with solid features on MRI. The patient underwent exploratory laparotomy and removal of the mass that was attached to the left ovary via a stalk with preservation of the left ovary. The frozen section diagnosis was “sex cord stromal tumor, favor benign”. The final pathology confirmed the diagnosis of the sclerosing stromal tumor of the ovary where characteristic features of SST including a heterogenous, pseudolobular growth pattern with hypercellular and hypocellular areas were identified along with prominent luteinized stromal cells attributed to pregnancy. In this case report and review of literature, we emphasize consideration of this rare ovarian tumor in the differential diagnosis for a young pregnant woman who presents with pelvic pain.
机译：硬化基质肿瘤（SST）是卵巢稀有的良性肿瘤。在文献中妊娠期卵巢中只有少数卵巢的卵巢肿瘤。呈现症状是非特异性的，包括盆腔疼痛或月经不规则。我们描述了一个年轻的22岁的孕妇，在第二个三个月患有盆腔疼痛。在成像上，她被发现有12厘米的左侧封腹块，具有MRI的固体特征。患者接受了探索性剖腹手术和去除通过具有左卵巢的保存的秸秆连接到左卵巢上的质量。冷冻段诊断是“性脐带基质肿瘤，青睐良性”。最终病理证实了卵巢的硬化基质肿瘤的诊断，其中SST的特征在包括异细胞和过细胞区域的异源性，假毛细管生长模式以及妊娠突出的叶氏素状的基质细胞鉴定。在本例报告和文学审查中，我们强调对患有盆腔疼痛的年轻孕妇的鉴别诊断中的这种稀有卵巢肿瘤的考虑。

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