Ovarian Sex Cord-Stromal Tumors in Postmenopausal Women and Total Laparoscopical Management ()
Affiliation(s)
Department of Gynecology and Obstetric, Santa Maria Hospital, Bari, Italy.
Department of Gynecology and Obstetric, Vito Fazzi Hospital, Lecce, Italy.
Department of Oncology, Vito Fazzi Hospital, Lecce, Italy.
Department of Pathology, Vito Fazzi Hospital, Lecce, Italy.
ABSTRACT
BACKGROUND: Ovarian sex-cord stromal tumors (SCST) take up 5% of
the ovarian neoplasm and may develop in to an ovarian mass or a haemoperitoneum. The surgical
management of SCST in early-stage adult patients is not well defined. CASE
REPORT: A 69 year-old postmenopausal woman was admitted for metrorrhagia, a
right ovary mass and increasing pelvic pain. Preoperative clinical and
instrumental examination suspected an ovarian tumor, and the laparoscopic right
ophorectomy and the frozen section suggested an ovarian SCST. To fast restore
and preserve woman integrity, total laparoscopic hysterectomy (TLH)
plus left salpingo-ophorectomy (SO) were performed, without complications in the short and
long term follow-up. CONCLUSION: In the authors’ opinion, the minimally
invasive management of SCST by TLH plus bilateral SO followed by a
prolonged surveillance and without intensive surgical staging, could be an
appropriate clinical and surgical choice in elder patient at early stage, since
these tumors are slow at growth, recurring locally and only a long time
after initial treatment. We suggest, after a minimally invasive treatment, a possible “wait
and see” option, as in our case report.
Share and Cite:
A. Tinelli, M. Pellegrino, V. Chiuri and A. Malvasi, "Ovarian Sex Cord-Stromal Tumors in Postmenopausal Women and Total Laparoscopical Management,"
Journal of Cancer Therapy, Vol. 1 No. 1, 2010, pp. 31-35. doi:
10.4236/jct.2010.11005.
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